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General NPI Number Information
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NPI Number | 1730274143
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Entity Type | Organization
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Legal Business Name | COUNTY OF CRAWFORD
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 270 N INDUSTRIAL DR
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City | FRONTENAC
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State | KS
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Zip | 66763
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Country | US
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Telephone | 620-231-3344
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Fax |
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Provider Business Mailing Address
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Address Line | P.O.BOX 292
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City | GIRARD
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State | KS
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Zip | 66743
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Country | US
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Telephone | 620-231-3344
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Fax |
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Authorized Official
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Title or Position | DIRECTOR EMS
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Name | MR. RANDY SANDBERG
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Credential | MICT
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Telephone | 620-231-3344
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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 | 460
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License Number State | KS
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