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General NPI Number Information
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NPI Number | 1104009653
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Entity Type | Organization
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Legal Business Name | HUDSON COMMUNITY FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 502 N BROADWAY ST
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City | HUDSON
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State | IL
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Zip | 61748-9451
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Country | US
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Telephone | 309-726-1501
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Fax | 309-726-1816
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Provider Business Mailing Address
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Address Line | 502 N BROADWAY ST
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City | HUDSON
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State | IL
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Zip | 61748-9451
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Country | US
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Telephone | 309-726-1501
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Fax | 309-726-1816
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Authorized Official
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Title or Position | CHIEF
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Name | DEL THOMAS
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Credential |
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Telephone | 309-726-1501
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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 | 022597
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License Number State | IL
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