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General NPI Number Information
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NPI Number | 1316943566
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Entity Type | Organization
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Legal Business Name | ACADIAN AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 130 E KALISTE SALOOM RD
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City | LAFAYETTE
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State | LA
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Zip | 70508-8308
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Country | US
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Telephone | 800-259-3333
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Fax | 337-291-4400
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Provider Business Mailing Address
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Address Line | PO BOX 92970
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City | LAFAYETTE
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State | LA
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Zip | 70509-2970
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Country | US
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Telephone | 800-259-3333
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Fax | 337-291-4252
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Authorized Official
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Title or Position | MANAGER OF CONTRACTS
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Name | THOMAS LEONARDS
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Credential |
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Telephone | 337-291-4039
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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 | 9110003
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 9110002
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License Number State | LA
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