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General NPI Number Information
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NPI Number | 1255573838
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Entity Type | Organization
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Legal Business Name | PLEASANT TWP. FIRE DEPT
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 10459 N OGDEN ROAD
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City | LAKETON
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State | IN
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Zip | 46943-0195
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Country | US
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Telephone | 260-982-8745
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Fax | 260-982-6685
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Provider Business Mailing Address
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Address Line | 10459 N OGDEN ROAD P O BOX 195
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City | LAKETON
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State | IN
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Zip | 46943-0195
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Country | US
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Telephone | 260-982-8745
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Fax | 260-982-6685
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. KENT D TRICKLE
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Credential |
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Telephone | 260-982-8745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 1090
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License Number State | IN
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