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General NPI Number Information
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NPI Number | 1801010319
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Entity Type | Organization
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Legal Business Name | MONROE COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 25521 HIGHWAY 24
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City | PARIS
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State | MO
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Zip | 65275-2226
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Country | US
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Telephone | 660-327-4757
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Fax | 660-327-1345
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Provider Business Mailing Address
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Address Line | 25521 HIGHWAY 24
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City | PARIS
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State | MO
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Zip | 65275-2226
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Country | US
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Telephone | 660-327-4757
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Fax | 660-327-1345
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOHN WARREN CHRISTENSEN
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Credential |
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Telephone | 660-327-4757
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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 | 137006
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License Number State | MO
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