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General NPI Number Information
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NPI Number | 1740231117
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Entity Type | Organization
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Legal Business Name | OCONTO FALLS AREA JOINT AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 831 S MAIN ST
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City | OCONTO FALLS
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State | WI
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Zip | 54154-1241
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Country | US
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Telephone | 920-846-2662
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Fax | 920-846-2676
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Provider Business Mailing Address
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Address Line | 831 S MAIN ST
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City | OCONTO FALLS
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State | WI
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Zip | 54154-1241
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Country | US
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Telephone | 920-846-2662
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Fax | 920-846-2676
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Authorized Official
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Title or Position | SERVICE DIRECTOR
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Name | PATRICK W AHLGRIM
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Credential | RN, CCT-P
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Telephone | 920-846-2662
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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 |
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License Number State |
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