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NPI 1528848587

NPI 1528848587 : EVENT MEDICAL SERVICES AMBULANCE INC : MARSHALLTOWN, IA

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General NPI Number Information
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    NPI Number           |    1528848587
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVENT MEDICAL SERVICES AMBULANCE INC 
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Dates
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    Enumeration Date     |    10/05/2023
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    Last Update Date     |    10/05/2023
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Provider Practice Location Address
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    Address Line         |    1749 PRAIRIE AVE 
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    City                 |    MARSHALLTOWN
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    State                |    IA
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    Zip                  |    50158-9527
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    Country              |    US
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    Telephone            |    641-758-1490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1749 PRAIRIE AVE 
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    City                 |    MARSHALLTOWN
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    State                |    IA
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    Zip                  |    50158-9527
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    Country              |    US
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    Telephone            |    641-758-1490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DENISE  BACON 
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    Credential           |    PARAMEDIC
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    Telephone            |    641-758-1490
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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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