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General NPI Number Information
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NPI Number | 1316119035
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Entity Type | Organization
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Legal Business Name | FRANKTON VOLUNTEER AMBULANCE SERVICE
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 110 LAFAYETTE ST.
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City | FRANKTON
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State | IN
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Zip | 46044-9340
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Country | US
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Telephone | 765-754-7575
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Fax | 765-754-8966
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | FRANKTON
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State | IN
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Zip | 46044-0007
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Country | US
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Telephone | 765-754-7575
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Fax | 765-754-8966
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | RANDY CAWTHORN
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Credential |
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Telephone | 765-754-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0124
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License Number State | IN
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