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General NPI Number Information
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NPI Number | 1992973093
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Entity Type | Organization
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Legal Business Name | WYNOT AMBULANCE SERVICE
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 209 SAINT JAMES AVE
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City | WYNOT
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State | NE
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Zip | 68792-2049
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Country | US
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Telephone | 402-357-2429
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Fax | 402-357-2415
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | WYNOT
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State | NE
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Zip | 68792-0101
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Country | US
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Telephone | 402-357-2429
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Fax | 402-357-2415
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LAURIE ANN SCHULTE
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Credential |
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Telephone | 402-841-9094
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1335
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License Number State | NE
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