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NPI 1154307650

NPI 1154307650 : CITY OF LAWRENCE : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1154307650
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF LAWRENCE 
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Dates
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    Enumeration Date     |    12/16/2005
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    9001 E 59TH ST STE 302 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46216-1036
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    Country              |    US
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    Telephone            |    317-549-4825
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    Fax                  |    317-549-8671
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Provider Business Mailing Address
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    Address Line         |    PO BOX 501368 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46250-6368
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    Country              |    US
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    Telephone            |    317-775-6751
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    Fax                  |    317-498-6632
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |     ROBERT  WALLACE 
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    Credential           |    
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    Telephone            |    317-775-6753
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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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Taxonomy #2
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    0196
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    License Number State |    IN
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