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General NPI Number Information
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NPI Number | 1417926353
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Entity Type | Organization
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Legal Business Name | SPENCER COUNTY EMERGENCY AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 701 DALE-BUFFALOVILLE RD
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City | DALE
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State | IN
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Zip | 47523-9056
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Country | US
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Telephone | 812-937-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21727
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City | CLEVELAND
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State | OH
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Zip | 44121-0727
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Country | US
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Telephone | 440-605-9117
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Fax | 440-442-4443
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | JANE STOUT
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Credential |
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Telephone | 812-937-4700
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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 |
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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 | 740164
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License Number State | IN
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