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General NPI Number Information
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NPI Number | 1275578668
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Entity Type | Organization
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Legal Business Name | DOWAGIAC VFD AMBULANCE
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 PARK PL
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City | DOWAGIAC
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State | MI
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Zip | 49047-1766
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Country | US
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Telephone | 269-782-7656
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Fax | 269-782-9941
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Provider Business Mailing Address
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Address Line | 103 PARK PL
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City | DOWAGIAC
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State | MI
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Zip | 49047-1766
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Country | US
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Telephone | 269-782-7656
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Fax | 269-782-9941
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Authorized Official
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Title or Position | EMS MANAGER
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Name | MR. FRANK LEMANSKI
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Credential |
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Telephone | 269-782-7656
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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 | 141002
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License Number State | MI
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