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General NPI Number Information
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NPI Number | 1992685242
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Entity Type | Individual
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Provider Name | ELLEN M JANULIS-EVANS PARAMEDIC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 2306 E US HIGHWAY 36
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City | MARKLEVILLE
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State | IN
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Zip | 46056-9773
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Country | US
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Telephone | 954-478-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 E US HIGHWAY 36
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City | MARKLEVILLE
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State | IN
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Zip | 46056-9773
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Country | US
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Telephone | 954-478-2011
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7008-6549
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License Number State | IN
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