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General NPI Number Information
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NPI Number | 1689674962
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Entity Type | Organization
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Legal Business Name | C M AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 3370 W VIENNA RD
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City | CLIO
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State | MI
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Zip | 48420-1374
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Country | US
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Telephone | 810-686-7600
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Fax | 810-686-6017
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Provider Business Mailing Address
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Address Line | 3370 W VIENNA RD
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City | CLIO
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State | MI
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Zip | 48420-1374
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Country | US
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Telephone | 810-686-7600
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Fax | 810-686-6017
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MICHELLE CHRISTINE LAKE
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Credential |
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Telephone | 810-686-7600
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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 | 251001
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License Number State | MI
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