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General NPI Number Information
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NPI Number | 1346278348
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Entity Type | Organization
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Legal Business Name | CITY OF SPRINGDALE
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 417 HOLCOMB ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-5322
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Country | US
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Telephone | 479-751-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 417 HOLCOMB ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-5322
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Country | US
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Telephone | 479-751-4510
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Fax | 479-750-8104
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MICHAEL J IRWIN
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Credential |
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Telephone | 479-751-4510
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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 | 139
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License Number State | AR
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