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General NPI Number Information
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NPI Number | 1376576918
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Entity Type | Organization
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Legal Business Name | WASHINGTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 200 N WILMORE RD
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City | WASHINGTON
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State | IL
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Zip | 61571-1249
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Country | US
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Telephone | 309-444-8642
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Fax | 309-444-7421
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Provider Business Mailing Address
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Address Line | PO BOX 322
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City | WASHINGTON
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State | IL
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Zip | 61571-0322
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Country | US
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Telephone | 309-444-2511
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Fax | 309-444-9532
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Authorized Official
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Title or Position | BILLING
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Name | SARAH HOFSTETTER
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Credential |
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Telephone | 309-444-8152
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2586
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License Number State | IL
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