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General NPI Number Information
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NPI Number | 1225235815
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Entity Type | Organization
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Legal Business Name | CITY OF CUDAHY
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 4626 S. PACKARD AVENUE
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City | CUDAHY
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State | WI
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Zip | 53110-1417
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Country | US
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Telephone | 414-769-2232
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Fax | 414-769-2266
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Provider Business Mailing Address
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Address Line | 4626 S. PACKARD AVENUE
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City | CUDAHY
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State | WI
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Zip | 53110-1417
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Country | US
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Telephone | 414-769-2232
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Fax | 414-769-2266
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Authorized Official
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Title or Position | INTERIM FIRE CHIEF
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Name | GARY A. POSDA
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Credential |
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Telephone | 414-769-2232
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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 | 6000130
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License Number State | WI
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