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General NPI Number Information
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NPI Number | 1386528479
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Entity Type | Individual
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Provider Name | JEFFERY ROSS NRP
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Gender | Male
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 212 S HARRISON ST
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City | ALEXANDRIA
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State | IN
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Zip | 46001-2422
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Country | US
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Telephone | 253-625-0436
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Fax |
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Provider Business Mailing Address
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Address Line | 4278 N 50 W
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City | ANDERSON
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State | IN
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Zip | 46012-9571
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Country | US
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Telephone | 253-625-0436
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 1643-4273
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | M5169517
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License Number State | IN
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