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General NPI Number Information
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NPI Number | 1245383181
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Entity Type | Organization
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Legal Business Name | BUCKLEY FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 104 E LINCOLN STREET
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City | BUCKLEY
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State | IL
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Zip | 60918-0104
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Country | US
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Telephone | 217-394-2032
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Fax |
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Provider Business Mailing Address
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Address Line | 104 E LINCOLN STREET P.O. BOX 104
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City | BUCKLEY
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State | IL
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Zip | 60918-0104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RONALD LENINGTON
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Credential |
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Telephone | 217-249-4888
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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 | 6751
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License Number State | IL
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