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General NPI Number Information
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NPI Number | 1366532004
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY JOINT AMBULANCE SERVICE
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 530 S COLLEGE ST
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City | NEWCOMERSTOWN
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State | OH
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Zip | 43832-1420
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Country | US
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Telephone | 740-498-6598
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S COLLEGE ST
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City | NEWCOMERSTOWN
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State | OH
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Zip | 43832-1420
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Country | US
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Telephone | 740-498-6598
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | ALVIN C MOORE
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Credential |
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Telephone | 740-498-6598
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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 | 02-0426150
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License Number State | OH
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