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General NPI Number Information
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NPI Number | 1376677021
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Entity Type | Organization
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Legal Business Name | CITY OF CARTERVILLE
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 300 N DIVISION ST
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City | CARTERVILLE
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State | IL
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Zip | 62918-1272
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Country | US
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Telephone | 618-985-6528
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Fax | 618-985-6528
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Provider Business Mailing Address
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Address Line | 103 S DIVISION ST
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City | CARTERVILLE
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State | IL
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Zip | 62918-1358
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Country | US
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Telephone | 618-985-2252
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Fax | 618-985-9282
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Authorized Official
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Title or Position | MAYOR
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Name | MR. CHARLES W. MAUSEY
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Credential |
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Telephone | 618-985-2700
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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 | 1769909
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1769910
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1769908
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License Number State | IL
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