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General NPI Number Information
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NPI Number | 1124071188
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Entity Type | Organization
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Legal Business Name | LA PORTE COUNTY AUDITOR
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 809 STATE ST SUITE 301A
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City | LA PORTE
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State | IN
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Zip | 46350-3391
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Country | US
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Telephone | 219-326-6808
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Fax | 219-872-0117
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Provider Business Mailing Address
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Address Line | 809 STATE ST SUITE 301A
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City | LA PORTE
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State | IN
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Zip | 46350-3390
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Country | US
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Telephone | 219-326-6808
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Fax | 219-872-0117
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA L PEASE
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Credential |
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Telephone | 219-326-6808
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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 | 460146
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License Number State | IN
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