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General NPI Number Information
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NPI Number | 1780607515
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Entity Type | Organization
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Legal Business Name | ACTION MEDICAL SERVICE INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | GANADO PLAZA TRAILER PARK SPACE 1
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City | GANADO
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State | AZ
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Zip | 86505
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Country | US
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Telephone | 928-755-6195
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E SECOND ST
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City | WINSLOW
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State | AZ
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Zip | 86047-4130
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Country | US
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Telephone | 928-289-9229
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Fax | 928-289-2745
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CYNTHIA K STEWARD
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Credential |
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Telephone | 928-289-9229
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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 | 90
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License Number State | AZ
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