{
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"ParentOrgLBN": null,
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"OrgName": "OAKES VOLUNTEER AMBULANCE SERVICE",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "615 IVY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAKES",
"MailingAddressStateName": "ND",
"MailingAddressPostalCode": "58474-1625",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "701-742-3244",
"MailingAddressFaxNumber": "701-742-9336",
"FirstLinePracticeLocationAddress": "615 IVY AVE",
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"PracticeLocationAddressCityName": "OAKES",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "701-742-3244",
"PracticeLocationAddressFaxNumber": "701-742-9336",
"EnumerationDate": "03/06/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALMRAST",
"AuthorizedOfficialFirstName": "CURTIS",
"AuthorizedOfficialMiddleName": "LEE",
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"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "701-742-3244",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "99",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}