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General NPI Number Information
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NPI Number | 1043366370
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Entity Type | Organization
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Legal Business Name | ASSUMPTION FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 217 N CHESTNUT ST
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City | ASSUMPTION
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State | IL
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Zip | 62510-1071
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Country | US
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Telephone | 217-226-4386
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Fax |
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Provider Business Mailing Address
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Address Line | 217 N CHESTNUT ST
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City | ASSUMPTION
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State | IL
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Zip | 62510-1071
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Country | US
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Telephone | 217-226-4386
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Fax |
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | MRS. DAWNNA J CORZINE
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Credential |
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Telephone | 217-226-4386
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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 | 361101
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License Number State | IL
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