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General NPI Number Information
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NPI Number | 1073558094
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Entity Type | Organization
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Legal Business Name | CITY OF MADISON HEIGHTS
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 31313 BRUSH
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071
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Country | US
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Telephone | 248-837-2833
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Fax | 248-588-3604
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Provider Business Mailing Address
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Address Line | 300W 13 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1853
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Country | US
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Telephone | 248-837-2833
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Fax | 248-588-3604
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | GREGORY LELITO
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Credential |
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Telephone | 248-837-2833
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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 | 63 1009
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 631009
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License Number State | MI
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