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General NPI Number Information
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NPI Number | 1902952161
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Entity Type | Organization
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Legal Business Name | AREA AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8834 PLAINVIEW BLACKTOP
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City | PLAINVIEW
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State | IL
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Zip | 62685-6577
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Country | US
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Telephone | 618-836-5992
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Fax | 618-836-7709
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Provider Business Mailing Address
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Address Line | 8834 PLAINVIEW BLACKTOP
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City | PLAINVIEW
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State | IL
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Zip | 62685-6577
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Country | US
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Telephone | 618-836-5992
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Fax | 618-836-7709
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | ELAINE MARIE GROTHAUS
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Credential |
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Telephone | 618-836-5992
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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 | 1769982
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License Number State | IL
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