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General NPI Number Information
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NPI Number | 1154147643
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Entity Type | Organization
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Legal Business Name | LEPANTO FIRE DEPARTMENT
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 728 GREENWOOD AVE
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City | LEPANTO
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State | AR
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Zip | 72354
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Country | US
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Telephone | 870-475-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 358
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City | LEPANTO
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State | AR
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Zip | 72354-0358
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | DANIEL A VAUGHN
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Credential |
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Telephone | 870-227-0285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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