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General NPI Number Information
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NPI Number | 1306859558
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Entity Type | Organization
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Legal Business Name | CHIPPEWA TOWNSHIP TRUSTEES
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 14228 GALEHOUSE ROAD
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City | DOYLESTOWN
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State | OH
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Zip | 44230
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Country | US
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Telephone | 330-658-2112
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Fax | 330-658-3372
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Provider Business Mailing Address
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Address Line | PO BOX 265
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City | DOYLESTOWN
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State | OH
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Zip | 44230-0265
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Country | US
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Telephone | 330-658-2112
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Fax | 330-658-3372
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. DARLENE L SMITH
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Credential |
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Telephone | 330-658-2112
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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 | 36-6000608
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License Number State | OH
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