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General NPI Number Information
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NPI Number | 1932139201
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Entity Type | Organization
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Legal Business Name | BEAVER ISLAND EMS
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 37865 KINGS HIGHWAY
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City | BEAVER ISLAND
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State | MI
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Zip | 49782
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Country | US
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Telephone | 231-448-2578
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Fax | 231-448-2578
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | WHEELING
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State | IL
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Zip | 60090-0457
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Country | US
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Telephone | 734-224-4474
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Fax | 336-791-0196
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHLEENA MARIE MASON
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Credential |
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Telephone | 231-330-5582
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | MI
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