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General NPI Number Information
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NPI Number | 1306119953
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Entity Type | Organization
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Legal Business Name | ANNAWAN-ALBA FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 101 S MAIN ST
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City | ANNAWAN
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State | IL
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Zip | 61234-7704
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Country | US
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Telephone | 309-935-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S MAIN ST
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City | ANNAWAN
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State | IL
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Zip | 61234-7704
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Country | US
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Telephone | 309-935-6223
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | ALBERT G HULTING
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Credential |
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Telephone | 309-935-6384
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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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