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General NPI Number Information
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NPI Number | 1487987731
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Entity Type | Organization
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Legal Business Name | AUDRAIN AMBULANCE DISTRICT
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 440 KELLEY PKWY
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City | MEXICO
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State | MO
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Zip | 65265-3814
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Country | US
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Telephone | 573-581-1722
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Fax | 573-581-1724
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Provider Business Mailing Address
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Address Line | 440 KELLEY PKWY
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City | MEXICO
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State | MO
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Zip | 65265-3814
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Country | US
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Telephone | 573-581-1733
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Fax | 573-581-1724
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Authorized Official
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Title or Position | ADMIN
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Name | JOSH LOYD
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Credential |
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Telephone | 573-581-1722
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 007005
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License Number State | MO
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