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General NPI Number Information
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NPI Number | 1699880765
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICAL SERVICE COMPRISING INDEPENDENT SCHOOL DIST. #1
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 211 WESTBLANCHARD DRIVE
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City | BLANCHARD
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State | OK
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Zip | 73010-0430
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Country | US
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Telephone | 405-485-2000
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Fax | 405-485-2010
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | BLANCHARD
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State | OK
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Zip | 73010-0430
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Country | US
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Telephone | 405-485-2000
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Fax | 405-485-2010
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ROBIN ROBINSON
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Credential | BSN, RN, NREMT-P
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Telephone | 405-485-2000
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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 | EMS222
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License Number State | PR
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