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NPI 1366064057

NPI 1366064057 : MORRIS FIRE PROTECTION & AMBULANCE DISTRICT : MORRIS, IL

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General NPI Number Information
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    NPI Number           |    1366064057
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORRIS FIRE PROTECTION & AMBULANCE DISTRICT 
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Dates
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    Enumeration Date     |    05/15/2020
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    Last Update Date     |    11/24/2020
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Provider Practice Location Address
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    Address Line         |    2301 ASHTON RD 
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    City                 |    MORRIS
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    State                |    IL
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    Zip                  |    60450-8615
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    Country              |    US
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    Telephone            |    815-955-7561
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2301 ASHTON RD 
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    City                 |    MORRIS
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    State                |    IL
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    Zip                  |    60450-8615
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    Country              |    US
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    Telephone            |    815-955-7561
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |    MR. TRACEY JAMES STEFFES 
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    Credential           |    
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    Telephone            |    815-942-2830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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