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General NPI Number Information
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NPI Number | 1295737658
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Entity Type | Organization
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Legal Business Name | RIVERSIDE FIRE DEPARTMENT
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1791 HARSHMAN RD
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City | DAYTON
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State | OH
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Zip | 45424-5017
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Country | US
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Telephone | 937-258-6460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 712189
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City | CINCINNATI
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State | OH
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Zip | 45271-0001
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Country | US
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Telephone | 937-619-3013
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Fax | 937-619-3014
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | DAN ALIG
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Credential |
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Telephone | 937-258-6460
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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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