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General NPI Number Information
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NPI Number | 1689479727
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Entity Type | Organization
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Legal Business Name | COTTONWOOD RESCUE, INC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 57 GRANGER ST
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City | COTTONWOOD
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State | AL
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Zip | 36320-5218
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Country | US
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Telephone | 334-790-2927
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 486
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City | COTTONWOOD
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State | AL
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Zip | 36320-0486
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Country | US
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Telephone | 334-691-5059
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | BEAU DEATHERAGE
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Credential |
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Telephone | 334-790-2927
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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 |
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License Number State |
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