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General NPI Number Information
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NPI Number | 1356665962
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Entity Type | Organization
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Legal Business Name | FESSENDEN AMBULANCE DISTRICT
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 602 RAILWAY ST N
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City | FESSENDEN
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State | ND
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Zip | 58438
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Country | US
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Telephone | 701-547-3319
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 193
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City | FESSENDEN
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State | ND
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Zip | 58438-0193
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | JANELLE PEPPLE
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Credential |
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Telephone | 701-547-3319
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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 | 0036
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License Number State | ND
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