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General NPI Number Information
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NPI Number | 1356396824
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Entity Type | Organization
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Legal Business Name | STILESVILLE VOLUNTEER FIRE & RESCUE, INC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 8353 HENDRICKS ST.
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City | STILESVILLE
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State | IN
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Zip | 46180-0145
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Country | US
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Telephone | 317-539-6952
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Fax | 317-539-5852
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Provider Business Mailing Address
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Address Line | 8353 HENDRICKS ST. P.O. BOX 145
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City | STILESVILLE
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State | IN
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Zip | 46180-0145
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Country | US
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Telephone | 317-539-6952
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Fax | 317-539-5852
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Authorized Official
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Title or Position | CAPTAIN
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Name | MRS. ELIZABETH DIANE FARTHING
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Credential |
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Telephone | 317-539-6952
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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 | 0323
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License Number State | IN
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