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General NPI Number Information
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NPI Number | 1164146379
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Entity Type | Organization
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Legal Business Name | CITY OF WATSEKA
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 201 N 5TH ST
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City | WATSEKA
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State | IL
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Zip | 60970-1273
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Country | US
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Telephone | 815-867-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N 5TH ST
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City | WATSEKA
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State | IL
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Zip | 60970-1273
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Country | US
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Telephone | 815-867-0200
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Fax |
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | STEVE YANA
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Credential |
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Telephone | 815-867-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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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 | 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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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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