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General NPI Number Information
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NPI Number | 1700882909
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN EMERG. MED. SERV. INC.
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 931 E MAIN ST
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City | JASONVILLE
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State | IN
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Zip | 47438-1617
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Country | US
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Telephone | 812-665-2358
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | JASONVILLE
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State | IN
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Zip | 47438-0083
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Country | US
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Telephone | 812-665-2358
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BRIAN RAY PILANT
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Credential |
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Telephone | 812-665-2358
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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 | 0463
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License Number State | IN
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