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General NPI Number Information
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NPI Number | 1578403119
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Entity Type | Organization
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Legal Business Name | BOTTINEAU AMBULANCE SERVICE DISTRICT
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 323 BENNETT ST
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City | BOTTINEAU
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State | ND
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Zip | 58318-1004
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Country | US
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Telephone | 701-228-6901
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Fax | 701-228-6911
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Provider Business Mailing Address
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Address Line | PO BOX 93
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City | BOTTINEAU
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State | ND
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Zip | 58318-0093
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Country | US
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Telephone | 701-228-6901
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Fax | 701-228-6911
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Authorized Official
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Title or Position | DISTRICT MANAGER
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Name | TIMOTHY SWANSON
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Credential |
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Telephone | 701-389-8956
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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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Taxonomy #2
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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 |
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