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General NPI Number Information
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NPI Number | 1255141628
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Entity Type | Individual
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Provider Name | GARRETT W CELLAR FIREFIGHTER/MEDIC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 411 S FRONT ST APT 7
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City | FREMONT
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State | OH
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Zip | 43420-3078
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Country | US
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Telephone | 419-685-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 411 S FRONT ST APT 7
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City | FREMONT
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State | OH
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Zip | 43420-3078
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Country | US
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Telephone | 419-685-0018
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 177747
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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