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General NPI Number Information
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NPI Number | 1063412997
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE FIRE DISTRICT
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 1980 DELAWARE CROSSING
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City | INDEPENDENCE
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State | KY
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Zip | 41051
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Country | US
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Telephone | 859-356-2011
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Fax | 859-356-3624
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251-9900
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Country | US
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Telephone | 800-962-1484
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | WILLIAM SCOTT BREEZE
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Credential |
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Telephone | 859-356-2011
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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 | 1475
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License Number State | KY
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