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General NPI Number Information
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NPI Number | 1588652325
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Entity Type | Organization
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Legal Business Name | DEL NORTE COMMUNITY AMBULANCE, INC.
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 560 PINE ST
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City | DEL NORTE
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State | CO
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Zip | 81132-2243
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Country | US
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Telephone | 719-580-0763
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Fax | 719-657-2456
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Provider Business Mailing Address
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Address Line | PO BOX 9150
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City | PADUCAH
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State | KY
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Zip | 42002-9150
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Country | US
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Telephone | 270-744-8413
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Fax | 270-744-8642
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CARLA TAYLOR
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Credential |
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Telephone | 719-580-0763
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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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