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General NPI Number Information
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NPI Number | 1023146339
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Entity Type | Organization
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Legal Business Name | EUREKA FIRE PROTECTION DISTRICT OF ST. LOUIS COUNTY
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 4849 HIGHWAY 109
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City | EUREKA
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State | MO
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Zip | 63025-3737
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Country | US
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Telephone | 636-938-5505
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Fax | 636-938-6970
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Provider Business Mailing Address
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Address Line | PO BOX 796008
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City | SAINT LOUIS
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State | MO
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Zip | 63179-6000
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Country | US
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Telephone | 636-938-5505
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Fax | 636-938-6970
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Authorized Official
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Title or Position | FIRE CHIEF OF DISTRICT
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Name | GREGORY M BROWN
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Credential |
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Telephone | 636-935-5505
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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 | 189049
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License Number State | MO
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