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General NPI Number Information
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NPI Number | 1205165032
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Entity Type | Organization
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Legal Business Name | BLOOMINGTON TOWNSHIP DEPARTMENT OF FIRE AND EMERGENCY SERVICES
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 5081 N OLD STATE ROAD 37
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9240
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Country | US
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Telephone | 812-339-1115
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Fax | 812-339-1120
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Provider Business Mailing Address
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Address Line | 5081 N OLD STATE ROAD 37
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9240
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Country | US
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Telephone | 812-339-1115
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Fax | 812-339-1120
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Authorized Official
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Title or Position | CHIEF
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Name | MR. FARON LIVINGSTON
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Credential |
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Telephone | 812-339-1115
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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 | 0280
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License Number State | IN
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