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General NPI Number Information
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NPI Number | 1194764258
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Entity Type | Organization
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Legal Business Name | HOLLOWAY VOLUNTEER FIRE DEPARTMENT, INC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 108 W. MAIN ST
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City | HOLLOWAY
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State | OH
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Zip | 43985
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Country | US
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Telephone | 740-968-0504
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Fax | 740-968-0504
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Provider Business Mailing Address
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Address Line | PO BOX 176
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City | HOLLOWAY
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State | OH
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Zip | 43985-0176
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Country | US
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Telephone | 740-968-0504
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Fax | 740-968-0504
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Authorized Official
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Title or Position | EMS BILLING COORDINATOR
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Name | MR. DAN WILLIAMS
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Credential |
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Telephone | 740-968-4260
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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 | 020376600
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License Number State | OH
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