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General NPI Number Information
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NPI Number | 1326043613
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Entity Type | Organization
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Legal Business Name | CITY OF INDEPENDENCE
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 120 N 6TH ST
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City | INDEPENDENCE
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State | KS
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Zip | 67301-3759
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Country | US
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Telephone | 620-332-2528
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Fax | 620-331-1628
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Provider Business Mailing Address
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Address Line | 120 N 6TH ST
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City | INDEPENDENCE
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State | KS
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Zip | 67301-3759
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Country | US
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Telephone | 620-332-2528
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Fax | 620-331-1628
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Authorized Official
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Title or Position | DIRECTOR OF PUBLIC SAFETY
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Name | MR. DAVID JAMES COWAN
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Credential | MICT-LPN
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Telephone | 620-332-2528
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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 | 850
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License Number State | KS
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