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General NPI Number Information
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NPI Number | 1811247729
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Entity Type | Organization
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Legal Business Name | ROCK COMMUNITY AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 14376 M-35
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City | ROCK
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State | MI
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Zip | 49880
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Country | US
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Telephone | 906-231-9020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | ROCK
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State | MI
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Zip | 49880-0044
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Country | US
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Telephone | 906-231-9020
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHERYL PATRICK
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Credential |
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Telephone | 906-356-6905
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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 | 211008
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License Number State | MI
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