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General NPI Number Information
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NPI Number | 1417929746
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Entity Type | Organization
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Legal Business Name | STOCKBRIDGE AREA AMBULANCE, INC.
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 125 S. CENTER ST
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City | STOCKBRIDGE
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State | MI
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Zip | 49285-0336
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Country | US
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Telephone | 517-851-7943
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Fax | 517-851-7645
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | STOCKBRIDGE
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State | MI
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Zip | 49285-0336
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Country | US
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Telephone | 517-851-7943
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Fax | 517-851-7645
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | JOHN E BECK
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Credential |
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Telephone | 517-851-7943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 331008
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License Number State | MI
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