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General NPI Number Information
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NPI Number | 1346313350
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Entity Type | Organization
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Legal Business Name | ODELL FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 210 SOUTH FRONT
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City | ODELL
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State | IL
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Zip | 60460-0435
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Country | US
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Telephone | 815-998-2410
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Fax | 815-998-1326
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Provider Business Mailing Address
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Address Line | PO BOX 435 210 SOUTH FRONT
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City | ODELL
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State | IL
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Zip | 60460-0435
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Country | US
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Telephone | 815-998-2410
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Fax | 815-998-1326
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | MR. BRIAN MILLS
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Credential |
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Telephone | 815-998-2410
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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 | 2 2988
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License Number State | IL
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