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General NPI Number Information
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NPI Number | 1134117674
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Entity Type | Organization
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Legal Business Name | SANDUSKY TWP -OFFICE OF CLERK
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 2205 OAK HARBOR RD
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City | FREMONT
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State | OH
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Zip | 43420-9613
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Country | US
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Telephone | 419-355-8188
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Fax | 419-332-1161
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Provider Business Mailing Address
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Address Line | PO BOX 290184
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City | WETHERSFIELD
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State | CT
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Zip | 06129-0184
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Country | US
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Telephone | 800-452-8191
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Fax | 860-721-6362
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | MRS. MARY T GENTILE
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Credential |
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Telephone | 800-452-8191
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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 | 02-1245250
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License Number State | OH
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