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General NPI Number Information
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NPI Number | 1265632640
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Entity Type | Organization
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Legal Business Name | SMITHFIELD EMERGENCY SQUAD INC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 1028 MAIN STREET
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City | SMITHFIELD
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State | OH
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Zip | 43948
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Country | US
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Telephone | 740-733-8330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | SMITHFIELD
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State | OH
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Zip | 43948-0549
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Country | US
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Telephone | 740-733-8126
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Fax |
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Authorized Official
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Title or Position | SECRETARY -TREASURE
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Name | MS. DIANE EAKLE
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Credential |
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Telephone | 740-733-8330
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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 | OH
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