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General NPI Number Information
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NPI Number | 1528157203
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Entity Type | Organization
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Legal Business Name | RAYMOND HARVEL AREA AMBULANCE SERVICE
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Dates
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Enumeration Date | 10/12/2006
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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 EAST BROAD STREET
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City | RAYMOND
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State | IL
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Zip | 62560
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Country | US
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Telephone | 217-229-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N MAIN PO BOX 523
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City | HILLSBORO
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State | IL
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Zip | 62049
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Country | US
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Telephone | 217-532-9561
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Fax | 217-532-9608
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Authorized Official
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Title or Position | BILLING AGENT
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Name | MRS. MAURICA A MANLEY
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Credential |
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Telephone | 217-532-9561
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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 |
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License Number State | IL
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