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General NPI Number Information
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NPI Number | 1851439939
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Entity Type | Organization
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Legal Business Name | MEDINA AMBULANCE DISTRICT
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 107 COLLEGE ST SW
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City | MEDINA
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State | ND
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Zip | 58467
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Country | US
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Telephone | 701-486-3164
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 756
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City | MEDINA
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State | ND
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Zip | 58467-0756
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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 | BUSINESS MANAGER
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Name | MS. RHONDA SCHLECHT
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Credential | DO
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Telephone | 701-320-7501
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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 | 083
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License Number State | ND
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