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General NPI Number Information
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NPI Number | 1306062591
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Entity Type | Organization
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Legal Business Name | TROY TOWNSHIP TRUSTEES
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 311 KROTZER AVE
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City | LUCKEY
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State | OH
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Zip | 43443
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Country | US
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Telephone | 419-833-5422
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Fax | 419-833-4264
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Provider Business Mailing Address
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Address Line | 311 KROTZER AVE
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City | LUCKEY
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State | OH
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Zip | 43443-9758
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Country | US
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Telephone | 419-833-5422
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Fax | 419-833-4264
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. MICHAEL DAVID RICHARDSON
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Credential | EMT-P
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Telephone | 419-833-5422
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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 |
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