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General NPI Number Information
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NPI Number | 1386814150
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Entity Type | Organization
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Legal Business Name | MASON AREA AMBULANCE SERVICE
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 24390 CTY HWY E
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City | MASON
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State | WI
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Zip | 54856
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Country | US
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Telephone | 715-765-4449
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Fax | 715-765-4349
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Provider Business Mailing Address
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Address Line | 59560 MASON MAIN ST
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City | MASON
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State | WI
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Zip | 54856
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Country | US
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Telephone | 715-765-4847
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOE SCHICK
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Credential |
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Telephone | 715-765-4847
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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 |
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License Number State |
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