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General NPI Number Information
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NPI Number | 1922151208
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Entity Type | Organization
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Legal Business Name | SOUTHWEST SHIAWASSEE EMERGENCY SERVICES ALLIANCE
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 145 S MAIN STREET
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City | PERRY
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State | MI
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Zip | 48872
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Country | US
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Telephone | 517-625-7611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 63
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City | PERRY
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State | MI
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Zip | 48872-0063
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Country | US
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Telephone | 800-926-6985
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Fax | 734-479-6319
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | TRENT M ATKINS
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Credential |
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Telephone | 517-881-6279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 781010
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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