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General NPI Number Information
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NPI Number | 1356670822
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Entity Type | Organization
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Legal Business Name | MARSHALL TOWNSHIP VOLUNTEER FIRE & EMS INC.
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Dates
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Enumeration Date | 12/13/2009
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Last Update Date | 12/13/2009
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Provider Practice Location Address
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Address Line | 75 FIRE BARN LN
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City | BEDFORD
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State | IN
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Zip | 47421-6904
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Country | US
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Telephone | 812-279-2236
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Fax | 812-279-2236
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Provider Business Mailing Address
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Address Line | 75 FIRE BARN LN
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City | BEDFORD
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State | IN
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Zip | 47421-6904
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Country | US
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Telephone | 812-279-2236
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Fax | 812-279-2236
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. CHAD HAYES
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Credential |
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Telephone | 812-279-2236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 0503
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License Number State | IN
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