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General NPI Number Information
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NPI Number | 1760410278
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Entity Type | Organization
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Legal Business Name | YELL COUNTY EMS
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 1007 E 8TH ST
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City | DANVILLE
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State | AR
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Zip | 72833-8801
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Country | US
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Telephone | 479-495-7831
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Fax | 479-495-7390
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Provider Business Mailing Address
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Address Line | 1007 E 8TH ST
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City | DANVILLE
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State | AR
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Zip | 72833-8801
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Country | US
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Telephone | 479-495-7831
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Fax | 479-495-7390
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SIDNEY L WARD
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Credential | DIRECTOR
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Telephone | 479-495-7831
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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 | 832
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License Number State | AR
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