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General NPI Number Information
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NPI Number | 1063457851
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Entity Type | Organization
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Legal Business Name | CITY OF GREAT BEND
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 1205 WILLIAMS ST
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City | GREAT BEND
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State | KS
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Zip | 67530-4446
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Country | US
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Telephone | 620-793-4140
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Fax | 620-793-4146
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Provider Business Mailing Address
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Address Line | 1205 WILLIAMS ST
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City | GREAT BEND
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State | KS
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Zip | 67530-4446
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Country | US
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Telephone | 620-793-4140
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Fax | 620-793-4146
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Authorized Official
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Title or Position | FIRE CHIEF/EMS DIRECTOR
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Name | MR. MICHAEL J NAPOLITANO
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Credential |
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Telephone | 620-793-4140
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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 | 700
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License Number State | KS
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