{
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"EIN": null,
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"OrgName": "NEW MADRID COUNTY AMBULANCE DISTRICT",
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"FirstLineMailingAddress": "PO BOX 457",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHEELING",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60090-0457",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-305-5236",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "340 US HIGHWAY 61",
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"PracticeLocationAddressCityName": "NEW MADRID",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63869-9753",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-748-5571",
"PracticeLocationAddressFaxNumber": "573-748-8900",
"EnumerationDate": "01/24/2006",
"LastUpdateDate": "01/03/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARRISON",
"AuthorizedOfficialFirstName": "PATRICK",
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"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "573-748-5571",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "143006",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}