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General NPI Number Information
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NPI Number | 1194876938
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Entity Type | Organization
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Legal Business Name | EARLING FIRE & RESCUE DEPARTMENT
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 100 MAIN
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City | EARLING
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State | IA
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Zip | 51530-0287
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Country | US
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Telephone | 712-747-6791
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MAIN BOX 287
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City | EARLING
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State | IA
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Zip | 51530-0287
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Country | US
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Telephone | 712-747-6791
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Fax |
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Authorized Official
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Title or Position | RESCUE CHIEF
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Name | JACK KENKEL
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Credential |
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Telephone | 712-747-6791
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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 | 8341
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License Number State | IA
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