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General NPI Number Information
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NPI Number | 1275752776
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Entity Type | Organization
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Legal Business Name | CITY OF COLUMBIA
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 126 N 10TH ST
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City | COLUMBIA
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State | MO
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Zip | 65201-4949
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Country | US
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Telephone | 573-874-6281
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Fax | 573-874-7276
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Provider Business Mailing Address
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Address Line | 126 N 10TH ST
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City | COLUMBIA
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State | MO
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Zip | 65201-4949
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Country | US
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Telephone | 573-874-6281
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Fax | 573-874-7276
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Authorized Official
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Title or Position | PUBLIC WORKS DIRECTOR
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Name | MR. JOHN D GLASCOCK
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Credential | PE
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Telephone | 573-874-7250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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