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NPI 1104197722

NPI 1104197722 : ORANGE TOWNSHIP FIRE DEPARTMENT INC : NANKIN, OH

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General NPI Number Information
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    NPI Number           |    1104197722
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORANGE TOWNSHIP FIRE DEPARTMENT INC 
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Dates
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    Enumeration Date     |    01/13/2012
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    Last Update Date     |    12/04/2023
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Provider Practice Location Address
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    Address Line         |    800 STATE ROUTE 302 
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    City                 |    NANKIN
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    State                |    OH
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    Zip                  |    44848
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    Country              |    US
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    Telephone            |    419-289-6866
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    Fax                  |    419-496-0052
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Provider Business Mailing Address
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    Address Line         |    PO BOX 123 
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    City                 |    NANKIN
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    State                |    OH
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    Zip                  |    44848-0123
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    Country              |    US
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    Telephone            |    419-289-6866
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    Fax                  |    419-496-0052
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Authorized Official
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    Title or Position    |    CHIEF
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    Name                 |     TERRY A MCCONNELL 
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    Credential           |    
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    Telephone            |    419-289-6866
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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       |    
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    License Number State |    OH
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