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General NPI Number Information
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NPI Number | 1750432381
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Entity Type | Organization
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Legal Business Name | SOUTH LORAIN COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 179 E HERRICK AVE
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City | WELLINGTON
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State | OH
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Zip | 44090-1302
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Country | US
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Telephone | 440-647-5803
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Fax | 440-647-4252
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Provider Business Mailing Address
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Address Line | 179 E HERRICK AVE
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City | WELLINGTON
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State | OH
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Zip | 44090-1302
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Country | US
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Telephone | 440-647-5803
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Fax | 440-647-4252
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. PAT WILCOXEN
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Credential |
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Telephone | 440-647-5803
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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 | 02-0420300
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License Number State | OH
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