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General NPI Number Information
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NPI Number | 1154411205
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Entity Type | Organization
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Legal Business Name | CITY OF LEWISTON
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 75 RICE STREET
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City | LEWISTON
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State | MN
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Zip | 55952
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Country | US
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Telephone | 507-523-2257
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Fax | 507-523-2306
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Provider Business Mailing Address
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Address Line | PO BOX 722
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City | LEWISTON
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State | MN
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Zip | 55952-0722
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Country | US
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Telephone | 507-523-2257
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Fax | 507-523-2306
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Authorized Official
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Title or Position | AMBULANCE DIRECTOR
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Name | MATTHEW LEE ESSIG
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Credential |
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Telephone | 507-523-2982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0135
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License Number State | MN
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