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General NPI Number Information
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NPI Number | 1689817306
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Entity Type | Organization
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Legal Business Name | RURAL MEADE AMBULANCE SERVICE
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 17506 HWY 34
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City | ENNING
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State | SD
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Zip | 57737-0054
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Country | US
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Telephone | 605-985-5583
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Fax | 605-985-5583
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | ENNING
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State | SD
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Zip | 57737-0054
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Country | US
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Telephone | 605-985-5583
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Fax | 605-985-5583
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Authorized Official
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Title or Position | TREASURER
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Name | CINDY MATT
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Credential | EMT-B
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Telephone | 605-985-5583
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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 | 0495
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License Number State | SD
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