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General NPI Number Information
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NPI Number | 1023634557
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Entity Type | Organization
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Legal Business Name | ENGLEWOOD RURAL FIRE DEPARTMENT
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Dates
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Enumeration Date | 06/20/2020
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Last Update Date | 06/20/2020
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Provider Practice Location Address
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Address Line | 107 CARROLL ST
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City | ENGLEWOOD
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State | TN
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Zip | 37329-3295
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Country | US
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Telephone | 423-887-7509
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | ENGLEWOOD
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State | TN
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Zip | 37329-0126
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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 | ASSISTANCE CHIEF
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Name | JONATHAN EDWARD PARROTT
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Credential | AEMT
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Telephone | 423-435-4210
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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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