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General NPI Number Information
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NPI Number | 1396790218
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Entity Type | Organization
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Legal Business Name | ST. CHARLES COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2000 SALT RIVER RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-3956
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Country | US
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Telephone | 636-344-7600
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Fax | 636-447-9060
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Provider Business Mailing Address
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Address Line | 2000 SALT RIVER RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-3956
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Country | US
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Telephone | 636-344-7600
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Fax | 636-447-9060
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | DAVID A LEWIS
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Credential | MHA, FACHE
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Telephone | 636-344-7681
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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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Taxonomy #2
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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 | MO
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 183032
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License Number State | MO
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