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General NPI Number Information
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NPI Number | 1588669592
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Entity Type | Organization
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Legal Business Name | AMBULANCE ASSOCIATES OF CANTON, INC.
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 114 CLARENDON AVE NW
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City | CANTON
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State | OH
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Zip | 44708-4623
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Country | US
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Telephone | 330-452-1113
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Fax | 330-452-5344
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Provider Business Mailing Address
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Address Line | 114 CLARENDON AVE NW
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City | CANTON
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State | OH
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Zip | 44708-4623
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Country | US
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Telephone | 330-452-1113
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Fax | 330-452-5344
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. RICHARD BABB
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Credential |
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Telephone | 330-452-1113
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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 | 760052
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License Number State | OH
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