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General NPI Number Information
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NPI Number | 1174032668
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Entity Type | Organization
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Legal Business Name | PIPE CREEK TOWNSHIP
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 208 S ANDERSON ST STE A
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City | ELWOOD
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State | IN
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Zip | 46036-2059
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Country | US
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Telephone | 765-552-0871
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Fax |
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Provider Business Mailing Address
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Address Line | 208 S ANDERSON ST STE A
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City | ELWOOD
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State | IN
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Zip | 46036-2059
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Country | US
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Telephone | 765-552-0871
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Fax |
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Authorized Official
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Title or Position | EMS CHIEF
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Name | KYLE HIBST
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Credential |
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Telephone | 765-620-1110
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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 |
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License Number State | IN
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Taxonomy #2
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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 | IN
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