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General NPI Number Information
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NPI Number | 1528779030
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Entity Type | Organization
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Legal Business Name | COUNTY OF CHICKASAW
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 204 EAST PROSPECT STREET
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City | NEW HAMPTON
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State | IA
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Zip | 50659-2135
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Country | US
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Telephone | 641-229-8340
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Fax | 641-229-8341
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Provider Business Mailing Address
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Address Line | 204 EAST PROSPECT STREET
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City | NEW HAMPTON
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State | IA
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Zip | 50659
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Country | US
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Telephone | 641-229-8340
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Fax | 641-229-8341
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | JOEL ORLO KNUTSON
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Credential |
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Telephone | 641-229-8340
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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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