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General NPI Number Information
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NPI Number | 1245615277
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Entity Type | Organization
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Legal Business Name | OREGON FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 100 WEST WASHINGTON ST
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City | OREGON
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State | IL
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Zip | 61061
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Country | US
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Telephone | 815-732-7214
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Fax | 815-732-2835
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Provider Business Mailing Address
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Address Line | 100 W WASHINGTON ST
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City | OREGON
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State | IL
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Zip | 61061
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Country | US
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Telephone | 815-732-7214
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Fax | 815-732-2835
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Authorized Official
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Title or Position | PARAMEDIC
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Name | MRS. STACI LYNN TODD
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Credential | EMT-P
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Telephone | 815-823-3488
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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 | 1080
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License Number State | IL
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