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General NPI Number Information
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NPI Number | 1356312268
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Entity Type | Organization
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Legal Business Name | HERMANSVILLE RESCUE SQUAD & AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | W5468 FIRST ST
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City | HERMANSVILLE
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State | MI
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Zip | 49874-0187
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Country | US
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Telephone | 906-498-2336
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Fax |
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Provider Business Mailing Address
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Address Line | W5468 FIRST ST PO BOX 187
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City | HERMANSVILLE
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State | MI
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Zip | 49874-0187
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Country | US
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Telephone | 906-498-2336
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | SHARLINE D CORRIGAN
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Credential | EMT-B, I/C
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Telephone | 906-497-5310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 551002
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License Number State | MI
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