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General NPI Number Information
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NPI Number | 1386137545
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Entity Type | Organization
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Legal Business Name | LITTLEVILLE VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 1745 BAILEY LN
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City | RUSSELLVILLE
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State | AL
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Zip | 35654-3201
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Country | US
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Telephone | 256-332-9316
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 BAILEY LN
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City | RUSSELLVILLE
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State | AL
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Zip | 35654-3201
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Country | US
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Telephone | 256-332-9316
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Fax |
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Authorized Official
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Title or Position | ASST CHIEF
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Name | MR. RODNEY MCANALLY JR.
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Credential | NREMT
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Telephone | 256-810-7641
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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 | 1093
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License Number State | AL
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