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NPI 1013946284

NPI 1013946284 : VILLAGE OF BELOIT : BELOIT, OH

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General NPI Number Information
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    NPI Number           |    1013946284
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    Entity Type          |    Organization 
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    Legal Business Name  |    VILLAGE OF BELOIT 
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Dates
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    Enumeration Date     |    07/01/2006
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    Last Update Date     |    02/13/2013
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Provider Practice Location Address
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    Address Line         |    17893 EAST FIFTH ST 
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    City                 |    BELOIT
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    State                |    OH
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    Zip                  |    44609
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    Country              |    US
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    Telephone            |    330-938-9305
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    Fax                  |    330-938-9305
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Provider Business Mailing Address
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    Address Line         |    PO BOX 276 
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    City                 |    BELOIT
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    State                |    OH
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    Zip                  |    44609-0276
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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    |    FISCAL OFFICER
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    Name                 |    MS. DEBRA S HARTZELL 
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    Credential           |    
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    Telephone            |    330-525-7278
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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       |    020320250
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    License Number State |    OH
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