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General NPI Number Information
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NPI Number | 1366646630
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Entity Type | Organization
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Legal Business Name | OSAGE AMBULANCE DISTRICT
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 119 HIGHWAY 89 SOUTH
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City | LINN
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State | MO
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Zip | 65051-0557
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Country | US
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Telephone | 573-897-0044
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Fax | 573-897-0787
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Provider Business Mailing Address
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Address Line | P.O. BOX 557
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City | LINN
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State | MO
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Zip | 65051-0557
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Country | US
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Telephone | 573-897-0044
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Fax | 573-897-0787
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Authorized Official
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Title or Position | DISTRICT ADMINISTRATOR
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Name | JOSHUA ALLEN KRULL
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Credential | CCEMT-P, NREMT-P
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Telephone | 573-897-0044
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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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