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General NPI Number Information
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NPI Number | 1477638658
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Entity Type | Organization
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Legal Business Name | ADAMS AREA AMBULANCE SERVICE JOINT POWERS BOARD
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 16 E MAIN ST
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City | ADAMS
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State | MN
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Zip | 55909-5002
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Country | US
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Telephone | 507-582-3601
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Fax | 507-582-3589
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Provider Business Mailing Address
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Address Line | PO BOX 89
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City | ADAMS
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State | MN
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Zip | 55909-0089
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Country | US
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Telephone | 612-756-1649
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | LESLEY D HEIMER
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Credential |
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Telephone | 612-756-1649
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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 | 1908
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License Number State | MN
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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 | 0002
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License Number State | MN
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