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General NPI Number Information
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NPI Number | 1861542078
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Entity Type | Organization
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Legal Business Name | GOODMAN ARMSTRONG RESCUE SQUAD INC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 506 MILL ST
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City | GOODMAN
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State | WI
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Zip | 54125-0393
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Country | US
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Telephone | 715-336-2027
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 393
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City | GOODMAN
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State | WI
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Zip | 54125-0393
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Country | US
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Telephone | 715-336-2027
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. DAWN M STEC
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Credential | EMT-B
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Telephone | 715-336-2027
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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 | 6001000
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License Number State | WI
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