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General NPI Number Information
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NPI Number | 1811305907
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Entity Type | Organization
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Legal Business Name | WOLSEY EMS ASSOCIATION
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 74 WELLINGTON ST SE
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City | WOLSEY
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State | SD
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Zip | 57384-0336
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Country | US
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Telephone | 605-883-4711
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Fax | 605-883-4711
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | WOLSEY
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State | SD
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Zip | 57384-0336
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | THERESA JENSEN
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Credential |
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Telephone | 605-354-3397
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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 | 0043
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License Number State | SD
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