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General NPI Number Information
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NPI Number | 1972585966
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Entity Type | Organization
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Legal Business Name | ANAMOSA AREA AMBULANCE SERVICE
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 101 GRANT WOOD DR
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City | ANAMOSA
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State | IA
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Zip | 52205-0000
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Country | US
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Telephone | 319-481-6409
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Fax | 319-481-6339
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Provider Business Mailing Address
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Address Line | 101 GRANT WOOD DR
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City | ANAMOSA
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State | IA
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Zip | 52205-2117
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Country | US
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Telephone | 319-481-6409
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Fax | 319-481-6339
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SHEILA R FRINK
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Credential | PARAMEDIC SPECIALIST
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Telephone | 319-462-5817
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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 | 2530100
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License Number State | IA
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