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General NPI Number Information
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NPI Number | 1760479307
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Entity Type | Organization
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Legal Business Name | AKRON COLUMBIA WISNER AMBULANCE SERVICE
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 6350 CENTER ST
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City | UNIONVILLE
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State | MI
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Zip | 48767-9739
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Country | US
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Telephone | 989-674-2416
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | UNIONVILLE
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State | MI
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Zip | 48767-0115
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Country | US
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Telephone | 810-793-4234
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Fax | 810-793-4372
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Authorized Official
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Title or Position | ADMIN CLERK
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Name | MRS. JAMIE SCHUETTE
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Credential |
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Telephone | 989-674-2416
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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 | 791001
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License Number State | MI
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