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General NPI Number Information
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NPI Number | 1619159365
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Entity Type | Organization
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Legal Business Name | ARCADIA AMBULANCE SERVICE
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 464 S SAINT JOSEPH AVE
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City | ARCADIA
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State | WI
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Zip | 54612-1401
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Country | US
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Telephone | 608-323-4359
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Fax |
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Provider Business Mailing Address
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Address Line | 464 S SAINT JOSEPH AVE
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City | ARCADIA
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State | WI
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Zip | 54612-1401
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Country | US
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Telephone | 608-323-4359
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Fax |
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Authorized Official
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Title or Position | AMBULANCE COORDINATOR/EMT
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Name | TRISHA PEHLER
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Credential |
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Telephone | 608-323-4359
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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 | 6000941
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License Number State | WI
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