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General NPI Number Information
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NPI Number | 1366499915
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Entity Type | Organization
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Legal Business Name | SIOUX FALLS AMBULANCE INC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 121 S WILLIAMS AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57104-3135
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Country | US
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Telephone | 605-336-6711
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Fax | 605-336-1445
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Provider Business Mailing Address
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Address Line | PO BOX 2812
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City | SCOTTSDALE
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State | AZ
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Zip | 85252-2812
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Country | US
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Telephone | 855-249-2841
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Fax | 480-627-6128
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | EDWARD VAN HORNE
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Credential |
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Telephone | 682-227-6078
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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 | 0014
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License Number State | SD
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