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General NPI Number Information
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NPI Number | 1356375232
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Entity Type | Organization
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Legal Business Name | CITY OF FAIRLAWN
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 3525 S SMITH RD
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City | FAIRLAWN
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State | OH
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Zip | 44333-3077
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Country | US
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Telephone | 330-668-9540
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Fax | 330-668-9545
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Provider Business Mailing Address
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Address Line | 3487 S SMITH RD
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City | FAIRLAWN
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State | OH
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Zip | 44333-3007
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Country | US
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Telephone | 330-668-9500
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Fax | 330-668-9565
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Authorized Official
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Title or Position | ASSISTANT FINANCE DIRECTOR
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Name | JACOB KAUFMAN
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Credential |
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Telephone | 330-668-9560
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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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