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General NPI Number Information
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NPI Number | 1285634980
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Entity Type | Organization
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Legal Business Name | CITY OF KETTERING
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 4745 HEMPSTEAD STATION DR
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City | KETTERING
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State | OH
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Zip | 45429-5165
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Country | US
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Telephone | 937-298-2489
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 78000 DEPT 781427
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City | DETROIT
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State | MI
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Zip | 48278-0001
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Country | US
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Telephone | 937-291-7850
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Fax | 937-291-2971
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Authorized Official
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Title or Position | CITY MANAGER
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Name | MATTHEW GREESON
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Credential |
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Telephone | 937-296-2489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 02032860013
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License Number State | OH
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