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General NPI Number Information
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NPI Number | 1386822872
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Entity Type | Organization
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Legal Business Name | YAZOO AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 780 E FOURTEENTH ST
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City | YAZOO CITY
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State | MS
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Zip | 39194-2712
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Country | US
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Telephone | 662-746-7444
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Fax | 662-746-8862
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Provider Business Mailing Address
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Address Line | 780 E FOURTEENTH ST
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City | YAZOO CITY
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State | MS
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Zip | 39194-2712
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Country | US
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Telephone | 662-746-7444
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Fax | 662-746-8862
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Authorized Official
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Title or Position | VICE PRESIDENT OF BILLING
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Name | MS. BRANDIE COLQUITT
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Credential |
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Telephone | 706-885-1730
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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 | 989
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License Number State | MS
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