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General NPI Number Information
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NPI Number | 1760299184
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Entity Type | Organization
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Legal Business Name | CEDAR COUNTY AMBULANCE DIST INC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 319 ENGLEWOOD RD
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City | STOCKTON
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State | MO
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Zip | 65785-9601
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Country | US
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Telephone | 417-276-2000
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Fax | 417-276-2003
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | STOCKTON
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State | MO
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Zip | 65785-0669
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Country | US
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Telephone | 417-276-2000
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Fax | 417-276-2003
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. THOMAS T RYAN
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Credential | PARAMEDIC
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Telephone | 417-262-0345
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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 |
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License Number State |
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