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General NPI Number Information
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NPI Number | 1609910942
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Entity Type | Organization
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Legal Business Name | TRINITY AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8110 14TH ST W
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City | ROCK ISLAND
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State | IL
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Zip | 61201-7601
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Country | US
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Telephone | 309-787-1846
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Fax | 309-787-3795
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Provider Business Mailing Address
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Address Line | 106 19TH AVE SUITE 102
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City | MOLINE
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State | IL
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Zip | 61265-3700
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Country | US
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Telephone | 309-779-5642
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Fax | 309-779-5644
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Authorized Official
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Title or Position | DIRECTOR
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Name | RICH KEARNS
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Credential |
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Telephone | 309-787-3465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 22978
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License Number State | IL
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