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General NPI Number Information
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NPI Number | 1225006968
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Entity Type | Organization
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Legal Business Name | CITY OF ANKENY
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 120 NW ASH DR
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City | ANKENY
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State | IA
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Zip | 50023-1554
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Country | US
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Telephone | 515-965-6469
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Fax | 515-964-2107
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Provider Business Mailing Address
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Address Line | 410 W 1ST ST
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City | ANKENY
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State | IA
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Zip | 50023-1557
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Country | US
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Telephone | 515-965-6469
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Fax | 515-964-2107
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Authorized Official
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Title or Position | DEPUTY CHIEF OF EMS
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Name | FRANK PROWANT
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Credential |
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Telephone | 515-965-6472
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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 | 2770200
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License Number State | IA
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