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General NPI Number Information
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NPI Number | 1790243145
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Entity Type | Organization
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Legal Business Name | ARKANSAS VALLEY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 8274 US HIGHWAY 50
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City | HOWARD
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State | CO
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Zip | 81233
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Country | US
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Telephone | 719-688-3776
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Fax | 970-497-8410
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | HOWARD
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State | CO
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Zip | 81233-0097
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Country | US
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Telephone | 719-688-3776
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Fax | 970-497-8410
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Authorized Official
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Title or Position | BOARD CHAIR
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Name | NICOLE LEWIS
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Credential |
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Telephone | 719-688-3776
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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 |
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License Number State |
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