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General NPI Number Information
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NPI Number | 1780885095
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Entity Type | Organization
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Legal Business Name | COMMUNITY AMBULANCE SERVICE
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 396 NORTH BROADWAY
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City | MARION
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State | SD
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Zip | 57043
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Country | US
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Telephone | 605-366-8606
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Fax | 605-648-3788
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Provider Business Mailing Address
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Address Line | PO BOX 536
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City | MARION
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State | SD
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Zip | 57043-0536
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Country | US
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Telephone | 605-648-3517
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Fax | 605-648-3788
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | MRS. MICHELLE DAWN KUNKEL
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Credential |
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Telephone | 605-648-3517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State | SD
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