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General NPI Number Information
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NPI Number | 1063654887
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Entity Type | Organization
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Legal Business Name | MILL TOWNSHIP VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2113 E. OLD KOKOMO ROAD
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City | MARION
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State | IN
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Zip | 46953
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Country | US
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Telephone | 765-674-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | GAS CITY
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State | IN
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Zip | 46933-0035
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Country | US
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Telephone | 765-674-2500
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF
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Name | MR. JOSEPH W. HEWITT
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Credential | NREMT-P
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Telephone | 765-661-5454
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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 | 0571
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License Number State | IN
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