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NPI 1457304826

NPI 1457304826 : MUNICIPAL AMBULANCE SERVICE INC. : AMERY, WI

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General NPI Number Information
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    NPI Number           |    1457304826
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUNICIPAL AMBULANCE SERVICE INC. 
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Dates
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    Enumeration Date     |    05/18/2006
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    Last Update Date     |    10/16/2015
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Provider Practice Location Address
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    Address Line         |    150 SNOW ST 
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    City                 |    AMERY
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    State                |    WI
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    Zip                  |    54001-1407
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    Country              |    US
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    Telephone            |    715-268-8698
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 457 
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    City                 |    WHEELING
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    State                |    IL
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    Zip                  |    60090-0457
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    Country              |    US
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    Telephone            |    800-244-2345
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    Fax                  |    800-329-5274
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     JOYCE  SCHAEFER 
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    Credential           |    
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    Telephone            |    715-268-8698
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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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