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General NPI Number Information
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NPI Number | 1144679101
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Entity Type | Organization
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Legal Business Name | THE LETTS COMMUNITY VOLUNTEER FIRE DEPARTMENT, INC.
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 4474 W COUNTY ROAD 700 S
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City | GREENSBURG
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State | IN
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Zip | 47240-8992
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Country | US
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Telephone | 812-591-0188
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Fax |
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Provider Business Mailing Address
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Address Line | 4474 W COUNTY ROAD 700 S
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City | GREENSBURG
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State | IN
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Zip | 47240-8992
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Country | US
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Telephone | 812-591-0188
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MATTHEW L MORROW
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Credential |
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Telephone | 812-591-0188
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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 | 0557
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License Number State | IN
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