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General NPI Number Information
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NPI Number | 1235263682
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Entity Type | Organization
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Legal Business Name | CITY OF ELWOOD
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1505 SOUTH B ST
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City | ELWOOD
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State | IN
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Zip | 46036
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Country | US
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Telephone | 765-552-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 SOUTH B ST
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City | ELWOOD
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State | IN
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Zip | 46036
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Country | US
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Telephone | 765-552-3366
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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 | MR. BRADLEY K COMPTON
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Credential |
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Telephone | 765-552-3366
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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 | 0148
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License Number State | IN
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