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General NPI Number Information
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NPI Number | 1811264765
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Entity Type | Organization
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Legal Business Name | UNITED RESCUE AMBULANCE AUTHORITY
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 229 E BEECH ST
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City | HARRISON
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State | MI
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Zip | 48625-2503
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Country | US
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Telephone | 989-539-6331
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Fax | 989-539-9121
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Provider Business Mailing Address
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Address Line | PO BOX 577 229 E BEECH ST
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City | HARRISON
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State | MI
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Zip | 48625-0577
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Country | US
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Telephone | 989-539-6331
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Fax | 989-539-9121
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. LARRY K REED
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Credential | NREMT-P I/C
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Telephone | 989-539-6331
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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 | 181002
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License Number State | MI
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