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General NPI Number Information
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NPI Number | 1205983947
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Entity Type | Organization
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Legal Business Name | VILLAGE OF LODI
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 591 MEDINA STREET
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City | LODI
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State | OH
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Zip | 44254
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Country | US
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Telephone | 330-948-2040
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Fax | 330-948-3017
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Provider Business Mailing Address
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Address Line | PO BOX 95
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City | LODI
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State | OH
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Zip | 44254-0095
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Country | US
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Telephone | 330-948-2040
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Fax | 330-948-3017
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Authorized Official
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Title or Position | RESCUE CHIEF
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Name | MR. JEREMY PATALON
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Credential |
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Telephone | 330-948-2040
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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 |
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License Number State |
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