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General NPI Number Information
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NPI Number | 1649277054
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Entity Type | Organization
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Legal Business Name | STOFCHECK AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 220 S HIGH ST
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City | LA RUE
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State | OH
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Zip | 43332-8881
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Country | US
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Telephone | 740-499-2200
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Fax | 740-499-3617
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Provider Business Mailing Address
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Address Line | PO BOX 333 220 S HIGH STREET
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City | LA RUE
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State | OH
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Zip | 43332-0333
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Country | US
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Telephone | 740-499-2200
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Fax | 740-499-3617
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | MRS. BARBARA A STOFCHECK
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Credential |
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Telephone | 740-499-2200
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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 | 510032
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License Number State | OH
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