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General NPI Number Information
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NPI Number | 1891595278
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Entity Type | Individual
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Provider Name | EMMA C MUNDY NREMT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 452 E CHRISTMAS BLVD
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City | SANTA CLAUS
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State | IN
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Zip | 47579-6152
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Country | US
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Telephone | 877-463-2645
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Fax |
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Provider Business Mailing Address
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Address Line | 210 N JACKSON ST
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City | HUNTINGBURG
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State | IN
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Zip | 47542-1328
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Country | US
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Telephone | 812-470-4083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 50296620
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License Number State | IN
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