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General NPI Number Information
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NPI Number | 1386758126
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Entity Type | Organization
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Legal Business Name | EDGAR COUNTY SPECIAL SERVICE AREA AMBULANCE, INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1703 S MAIN ST
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City | PARIS
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State | IL
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Zip | 61944-2944
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Country | US
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Telephone | 217-463-5200
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Fax | 217-463-5112
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Provider Business Mailing Address
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Address Line | PO BOX 937
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City | PARIS
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State | IL
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Zip | 61944-0937
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Country | US
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Telephone | 217-463-5200
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Fax | 217-463-5112
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Authorized Official
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Title or Position | SECRETARY
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Name | ALTA CARY
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Credential |
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Telephone | 217-463-5200
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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 | 66706
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License Number State | IL
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