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General NPI Number Information
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NPI Number | 1346310364
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Entity Type | Organization
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Legal Business Name | MACEDONIA FIREMENS ASSOCIATION
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 404 POTTER
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City | MACEDONIA
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State | IA
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Zip | 51549
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Country | US
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Telephone | 402-572-4019
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Fax | 402-965-8594
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Provider Business Mailing Address
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Address Line | PO BOX 641880
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City | OMAHA
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State | NE
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Zip | 68164-7880
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Country | US
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Telephone | 402-572-4019
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Fax | 402-965-8594
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Authorized Official
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Title or Position | TREASURER
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Name | MARSHA HOUSER
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Credential |
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Telephone | 402-572-4019
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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 | 2780300
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License Number State | IA
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