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General NPI Number Information
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NPI Number | 1700911591
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Entity Type | Organization
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Legal Business Name | OSOLO EMERGENCY MEDICAL SERVICES INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 25600 COUNTY ROAD 4
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City | ELKHART
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State | IN
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Zip | 46514-5947
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Country | US
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Telephone | 574-262-3052
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Fax | 574-262-8672
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Provider Business Mailing Address
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Address Line | 25600 COUNTY ROAD 4
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City | ELKHART
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State | IN
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Zip | 46514-5947
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Country | US
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Telephone | 574-262-3052
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Fax | 574-262-8672
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Authorized Official
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Title or Position | ASSIST DIRECTOR/BILLING COORDINATOR
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Name | MS. JULIE A CALLOWAY
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Credential | PARAMEDIC
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Telephone | 574-262-3052
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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 | 0166
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License Number State | IN
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