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General NPI Number Information
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NPI Number | 1396051207
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Entity Type | Organization
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Legal Business Name | CITY OF OLIVETTE
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 9473 OLIVE BLVD
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City | OLIVETTE
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State | MO
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Zip | 63132-3131
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Country | US
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Telephone | 314-983-5220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28977
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City | OLIVETTE
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State | MO
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Zip | 63132-0977
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Country | US
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Telephone | 937-424-3701
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Fax | 937-291-2971
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | SCOTT AVERY
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Credential |
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Telephone | 937-424-3701
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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 | 10336
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License Number State | MO
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