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General NPI Number Information
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NPI Number | 1144461278
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Entity Type | Organization
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Legal Business Name | FOX LAKE FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 306 WASHINGTON ST
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City | INGLESIDE
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State | IL
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Zip | 60041-0000
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Country | US
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Telephone | 847-587-3312
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Fax | 847-587-0895
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Provider Business Mailing Address
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Address Line | 395 W LAKE ST
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City | ELMHURST
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State | IL
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Zip | 60126-1508
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Country | US
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Telephone | 630-903-2199
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Fax | 630-903-2830
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | RONALD HOEHNE
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Credential |
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Telephone | 847-587-3312
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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 | IL
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