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General NPI Number Information
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NPI Number | 1184799447
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Entity Type | Organization
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Legal Business Name | CITY OF WHITING
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 1916 SCHRAGE AVENUE
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City | WHITING
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State | IN
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Zip | 46394-2007
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Country | US
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Telephone | 219-659-1069
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Fax | 219-473-7572
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Provider Business Mailing Address
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Address Line | PO BOX 230 1443 119TH STREET
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City | WHITING
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State | IN
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Zip | 46394-1742
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Country | US
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Telephone | 219-659-3100
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Fax | 219-473-4452
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Authorized Official
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Title or Position | CLERK-TREAS
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Name | JOHN HAYNES
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Credential |
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Telephone | 219-659-3100
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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 | 0151
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License Number State | IN
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