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General NPI Number Information
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NPI Number | 1104869114
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF LIBERTY TRUSTEES
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | T-315 ROAD 8
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City | LIBERTY CENTER
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State | OH
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Zip | 43532-9381
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Country | US
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Telephone | 419-533-1038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172
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City | LIBERTY CENTER
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State | OH
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Zip | 43532-0172
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Country | US
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Telephone | 567-341-0638
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Fax |
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | JACOB S CLAPP
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Credential |
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Telephone | 567-341-0368
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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 | 020914500
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License Number State | OH
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