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General NPI Number Information
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NPI Number | 1235110792
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Entity Type | Organization
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Legal Business Name | AFFTON FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 9282 GRAVOIS RD
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City | AFFTON
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State | MO
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Zip | 63123-4526
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Country | US
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Telephone | 314-631-1803
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Fax | 314-353-7679
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Provider Business Mailing Address
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Address Line | 2840 RELIABLE PARKWAY
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City | CHICAGO
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State | IL
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Zip | 60686-0001
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Country | US
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Telephone | 314-631-1803
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JOHN F RAUSCH
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Credential |
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Telephone | 314-631-1803
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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 | 189413
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License Number State | MO
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