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General NPI Number Information
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NPI Number | 1528201530
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Entity Type | Organization
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Legal Business Name | ANETA AMBULANCE
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 405 MOON AVE
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City | ANETA
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State | ND
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Zip | 58212-4207
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Country | US
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Telephone | 701-326-4131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 346 306 MAIN AVE
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City | ANETA
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State | ND
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Zip | 58212-0346
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Country | US
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Telephone | 701-326-4131
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Fax |
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Authorized Official
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Title or Position | AMBULANCE PRESIDENT
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Name | MS. JAIMA MARIE CURRY
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Credential |
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Telephone | 701-326-4131
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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 | 2
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License Number State | NH
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