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General NPI Number Information
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NPI Number | 1356652960
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Entity Type | Organization
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Legal Business Name | ELLSWORTH TOWNSHIP
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 6036 S SALEM WARREN RD
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City | ELLSWORTH
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State | OH
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Zip | 44416-9997
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Country | US
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Telephone | 330-538-3341
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Fax | 330-538-9615
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | ELLSWORTH
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State | OH
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Zip | 44416-0123
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Country | US
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Telephone | 330-538-3341
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Fax | 330-538-9615
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. ROBERT STERNBURG
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Credential |
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Telephone | 330-538-3341
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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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