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NPI 1225761919

NPI 1225761919 : DENNIS SCALES PARAMEDIC-CC : GREENWOOD, IN

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General NPI Number Information
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    NPI Number           |    1225761919
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    Entity Type          |    Individual 
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    Provider Name        |    DENNIS SCALES PARAMEDIC-CC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/08/2022
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    Last Update Date     |    05/19/2024
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Provider Practice Location Address
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    Address Line         |    1090 W CUTSINGER RD 
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    City                 |    GREENWOOD
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    State                |    IN
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    Zip                  |    46143-9539
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    Country              |    US
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    Telephone            |    615-389-6166
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    209 S FRANKLIN ST # 18 
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    City                 |    FAIRLAND
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    State                |    IN
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    Zip                  |    46126-2038
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    Country              |    US
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    Telephone            |    615-389-6166
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    1124501
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    35511
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    M8060948
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    2162-4691
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    License Number State |    IN
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