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General NPI Number Information
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NPI Number | 1033250220
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Entity Type | Organization
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Legal Business Name | CITY OF CONNERSVILLE
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 2330 N PARK RD
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2904
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Country | US
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Telephone | 765-825-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N CENTRAL AVE
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2046
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Country | US
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Telephone | 765-825-6706
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Fax | 765-827-0858
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Authorized Official
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Title or Position | CITY CLERK TREASURER
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Name | MRS. ROSEMARY BROWN
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Credential |
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Telephone | 765-825-1271
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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 | 01057220A
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License Number State | IN
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