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General NPI Number Information
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NPI Number | 1952419350
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Entity Type | Organization
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Legal Business Name | CASTLEWOOD AMBULANCE DISTRICT
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 208 EAST MAIN
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City | CASTLEWOOD
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State | SD
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Zip | 57223
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Country | US
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Telephone | 605-793-2124
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Fax |
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Provider Business Mailing Address
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Address Line | 45942 182ND ST
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City | CASTLEWOOD
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State | SD
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Zip | 57223-5303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | CARMEN JANKORD
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Credential |
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Telephone | 605-793-2124
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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 | 0321
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License Number State | SD
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