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General NPI Number Information
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NPI Number | 1578776811
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Entity Type | Organization
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Legal Business Name | IOLA AND RURAL FIRE DEPARTMENT AND AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 350 W IOLA ST
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City | IOLA
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State | WI
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Zip | 54945-9652
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Country | US
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Telephone | 715-445-2515
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Fax | 715-445-3130
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Provider Business Mailing Address
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Address Line | 350 W IOLA ST
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City | IOLA
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State | WI
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Zip | 54945-9652
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Country | US
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Telephone | 715-445-2515
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Fax | 715-445-3130
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. CARRIE SUE SNYDER
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Credential | EMT
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Telephone | 715-445-2515
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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 | 6000478
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License Number State | WI
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