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General NPI Number Information
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NPI Number | 1366012957
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Entity Type | Organization
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Legal Business Name | FRONTIER AMBULANCE LLC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 1052 PETERSDORF DR
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City | RIVERTON
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State | WY
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Zip | 82501-2308
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Country | US
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Telephone | 74-630-6533
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7828
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City | CAROL STREAM
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State | IL
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Zip | 60197-7828
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Country | US
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Telephone | 844-597-4911
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Fax | 866-687-2796
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Authorized Official
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Title or Position | CHIEF REVENUE INTEGRATION OFFICER
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Name | ROBERT A JEWELL
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Credential |
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Telephone | 844-597-4911
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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 |
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License Number State |
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