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General NPI Number Information
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NPI Number | 1235468075
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Entity Type | Organization
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Legal Business Name | PLEASANT TWP. VOL. FIRE DEPT.
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 9 E MANN ST
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City | LA PORTE
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State | IN
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Zip | 46350-9043
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Country | US
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Telephone | 219-369-9489
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Fax | 219-369-9489
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Provider Business Mailing Address
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Address Line | 9 E MANN ST
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City | LA PORTE
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State | IN
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Zip | 46350-9043
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Country | US
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Telephone | 219-369-9489
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Fax | 219-369-9489
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Authorized Official
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Title or Position | CHIEF
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Name | PHIL BLUHM
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Credential |
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Telephone | 219-608-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | BLS N/T 0900
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License Number State | IN
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