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General NPI Number Information
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NPI Number | 1386601680
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Entity Type | Organization
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Legal Business Name | COUNTY OF SEWARD
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 320 W 18TH ST
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City | LIBERAL
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State | KS
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Zip | 67901-2466
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Country | US
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Telephone | 620-626-3275
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Fax | 620-626-3360
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Provider Business Mailing Address
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Address Line | 320 W 18TH ST
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City | LIBERAL
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State | KS
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Zip | 67901-2466
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Country | US
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Telephone | 620-626-3275
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Fax | 620-626-3360
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOHN A RALSTON
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Credential | RN, MICT
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Telephone | 620-626-3275
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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 | 1770
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License Number State | KS
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