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General NPI Number Information
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NPI Number | 1336217645
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Entity Type | Organization
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Legal Business Name | WEST PECULIAR FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 200 S MAIN ST
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City | PECULIAR
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State | MO
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Zip | 64078-9612
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Country | US
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Telephone | 816-779-5766
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Fax | 816-779-5769
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Provider Business Mailing Address
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Address Line | 200 S MAIN ST
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City | PECULIAR
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State | MO
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Zip | 64078-9612
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Country | US
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Telephone | 816-779-5766
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Fax | 816-779-5769
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Authorized Official
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Title or Position | ASSISTANT FIRE CHIEF / EMS MANAGER
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Name | RALPH LOUIS LOAR III
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Credential | EMT-P
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Telephone | 816-779-5766
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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 | 037109
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License Number State | MO
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