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General NPI Number Information
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NPI Number | 1679618219
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Entity Type | Organization
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Legal Business Name | PLANKINTON AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 304 N MAIN ST
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City | PLANKINTON
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State | SD
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Zip | 57368
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Country | US
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Telephone | 605-770-2841
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | PLANKINTON
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State | SD
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Zip | 57368
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Country | US
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Telephone | 605-999-0434
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | KRISTI S SCHROEDER
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Credential |
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Telephone | 605-999-0434
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | SD
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