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General NPI Number Information
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NPI Number | 1891877353
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Entity Type | Organization
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Legal Business Name | EDMONSON COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 1755 HWY 259 N.
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City | BROWNSVILLE
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State | KY
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Zip | 42210-0118
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Country | US
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Telephone | 270-597-3721
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Fax | 270-597-9851
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Provider Business Mailing Address
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Address Line | PO BOX 118
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City | BROWNSVILLE
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State | KY
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Zip | 42210-0118
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Country | US
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Telephone | 270-597-3721
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Fax | 270-597-9851
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. KEITH SANDERS
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Credential | PARAMEDIC
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Telephone | 270-597-3721
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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 | 1519
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License Number State | KY
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