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General NPI Number Information
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NPI Number | 1659302693
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Entity Type | Organization
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Legal Business Name | WASHINGTON AREA AMBULANCE DISTRICT
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 515 WASHINGTON AVE
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City | WASHINGTON
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State | MO
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Zip | 63090-3317
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Country | US
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Telephone | 636-239-6354
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Fax | 636-239-1406
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Provider Business Mailing Address
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Address Line | 515 WASHINGTON AVE
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City | WASHINGTON
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State | MO
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Zip | 63090-3317
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Country | US
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Telephone | 636-239-6354
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Fax | 636-239-1406
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Authorized Official
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Title or Position | CHIEF
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Name | CHRISTOPHER WADE CLIFTON
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Credential | EMT-P
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Telephone | 636-239-6354
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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 | 071005
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License Number State | MO
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