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General NPI Number Information
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NPI Number | 1467674036
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Entity Type | Organization
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Legal Business Name | TOWN OF ROSALIA AMBULANCE SERVICES
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 607 SOUTH WHITMAN AVE
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City | ROSALIA
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State | WA
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Zip | 99170
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Country | US
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Telephone | 509-523-3151
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Fax | 509-523-2302
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Provider Business Mailing Address
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Address Line | 607 SOUTH WHITMAN AVE
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City | ROSALIA
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State | WA
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Zip | 99170
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Country | US
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Telephone | 509-523-3151
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Fax | 509-523-2302
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Authorized Official
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Title or Position | AMBULANE COORDINATOR
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Name | RONALD JAMES WILLEY
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Credential |
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Telephone | 509-523-3151
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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 | 38M11
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License Number State | WA
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