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General NPI Number Information
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NPI Number | 1336936970
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Entity Type | Organization
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Legal Business Name | WABASH CIVIL TOWNSHIP
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 2899 KLONDIKE RD
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-5207
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Country | US
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Telephone | 765-463-6664
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 503024
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-8024
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Country | US
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Telephone | 317-849-6628
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Fax |
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Authorized Official
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Title or Position | DIVISION CHIEF OF EMS
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Name | DANIEL HUFF
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Credential |
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Telephone | 317-775-6753
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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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Taxonomy #2
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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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