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General NPI Number Information
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NPI Number | 1124273198
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Entity Type | Organization
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Legal Business Name | CITY OF INDEPENDENCE
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 6305 SELIG BLVD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-5045
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Country | US
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Telephone | 216-524-9713
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Fax | 513-772-4464
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251-9907
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Country | US
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Telephone | 800-962-1484
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Fax | 513-772-4464
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Authorized Official
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Title or Position | CHIEF
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Name | STEVE REGA
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Credential |
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Telephone | 216-524-4001
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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 | 02-0311400
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License Number State | OH
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Taxonomy #2
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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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