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General NPI Number Information
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NPI Number | 1245139047
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Entity Type | Organization
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Legal Business Name | WAVERLY FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 160 S PROSPECT ST
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City | WAVERLY
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State | IL
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Zip | 62692-1168
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Country | US
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Telephone | 217-435-2041
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Fax | 217-435-2143
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Provider Business Mailing Address
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Address Line | PO BOX 18
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City | WAVERLY
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State | IL
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Zip | 62692-0018
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Country | US
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Telephone | 217-435-2041
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Fax | 217-435-2143
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JASON SHUMAKER
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Credential |
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Telephone | 217-435-2041
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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 |
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License Number State |
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