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General NPI Number Information
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NPI Number | 1396860680
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Entity Type | Organization
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Legal Business Name | PLYMOUTH AMB RURAL FIRE
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 112 SOUTH JEFFERSON AVE.
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City | PLYMOUTH
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State | NE
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Zip | 68424-0262
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Country | US
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Telephone | 402-656-3734
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Fax |
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Provider Business Mailing Address
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Address Line | 112 SOUTH JEFFERSON AVE.
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City | PLYMOUTH
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State | NE
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Zip | 68424-0262
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Country | US
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Telephone | 402-656-3734
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MR. DAVID D POHLMANN
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Credential |
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Telephone | 402-656-3823
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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 | NE
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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 | EMS1241
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License Number State | NE
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