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General NPI Number Information
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NPI Number | 1760699789
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Entity Type | Organization
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Legal Business Name | COUNTY OF MISSAUKEE
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 404 FIRST STREET
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City | LAKE CITY
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State | MI
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Zip | 49651-0800
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Country | US
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Telephone | 231-839-6101
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Fax | 231-839-2205
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Provider Business Mailing Address
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Address Line | PO BOX 800
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City | LAKE CITY
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State | MI
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Zip | 49651-0800
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Country | US
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Telephone | 231-335-7256
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Fax | 231-839-2205
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | NICOLE SHARP
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Credential |
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Telephone | 231-839-2198
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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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Taxonomy #2
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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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