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General NPI Number Information
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NPI Number | 1811084577
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Entity Type | Organization
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Legal Business Name | EASTERN HURON AMBULANCE SERVICE
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 108 NELSON ST
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City | HARBOR BEACH
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State | MI
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Zip | 48441-1168
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Country | US
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Telephone | 989-479-0910
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Fax | 989-479-0911
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | HARBOR BEACH
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State | MI
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Zip | 48441-0028
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Country | US
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Telephone | 989-479-0910
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Fax | 989-479-0911
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Authorized Official
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Title or Position | MANAGER/IC
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Name | MR. WARREN C. RAMSEY
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Credential | EMT
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Telephone | 989-479-0910
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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 | 321002
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License Number State | MI
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