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General NPI Number Information
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NPI Number | 1134350218
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Entity Type | Organization
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Legal Business Name | BUFFALO LIBERTY TWP. VOL. FIRE DEPT.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 207 SOUTH STATE ROAD 39
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City | BUFFALO
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State | IN
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Zip | 47925-0024
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Country | US
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Telephone | 574-278-7137
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Fax | 574-278-7129
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | BUFFALO
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State | IN
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Zip | 47925-0024
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Country | US
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Telephone | 574-278-7137
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Fax | 574-278-7129
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Authorized Official
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Title or Position | CHIEF
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Name | GREGORY ROGER WESTERHOUSE
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Credential |
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Telephone | 574-278-7247
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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 |
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License Number State |
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