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General NPI Number Information
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NPI Number | 1730279720
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Entity Type | Organization
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Legal Business Name | TURTLE LAKE AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 216 PUTNAM STREET
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City | TURTLE LAKE
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State | ND
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Zip | 58575-0243
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Country | US
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Telephone | 701-448-2518
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Fax | 701-448-2518
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Provider Business Mailing Address
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Address Line | PO BOX 243
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City | TURTLE LAKE
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State | ND
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Zip | 58575-0243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SQUAD LEADER
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Name | DAVID ROBERT HANSON
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Credential |
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Telephone | 701-448-9288
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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 | 0120
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License Number State | ND
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