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General NPI Number Information
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NPI Number | 1962625285
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Entity Type | Organization
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Legal Business Name | OREGON AMBULANCE SERVICE,INC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 MADISON ST
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City | OREGON
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State | IL
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Zip | 61061-1824
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Country | US
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Telephone | 815-732-7881
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Fax | 815-732-7881
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Provider Business Mailing Address
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Address Line | 101 MADISON ST PO BOX 122
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City | OREGON
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State | IL
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Zip | 61061-1824
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Country | US
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Telephone | 815-732-7881
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Fax | 815-732-7881
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BETTY J FERRIS
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Credential | PARAMEDIC
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Telephone | 815-732-7881
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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 | 135501
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License Number State | IL
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