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General NPI Number Information
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NPI Number | 1174677306
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Entity Type | Organization
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Legal Business Name | KIDRON VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 4772 KIDRON ROAD
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City | KIDRON
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State | OH
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Zip | 44636-0155
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Country | US
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Telephone | 330-857-2101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | KIDRON
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State | OH
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Zip | 44636-0155
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Country | US
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Telephone | 330-857-2101
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Fax |
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Authorized Official
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Title or Position | EMS BILLING COORDINATOR
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Name | KARMYN D KNOX
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Credential |
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Telephone | 330-857-2101
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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 | 020978850
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License Number State | OH
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