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General NPI Number Information
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NPI Number | 1669533394
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Entity Type | Organization
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Legal Business Name | VALLEY AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 1317 GRIGGS AVENUE
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City | GRAFTON
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State | ND
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Zip | 58237
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Country | US
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Telephone | 701-352-3128
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Fax | 701-352-1176
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Provider Business Mailing Address
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Address Line | 1317 GRIGGS AVENUE
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City | GRAFTON
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State | ND
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Zip | 58237
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Country | US
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Telephone | 701-352-3128
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Fax | 701-352-1176
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES RUSSELL RESTEMAYER
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Credential | NREMT PARAMEDIC
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Telephone | 701-352-3128
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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 | 0047
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License Number State | ND
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