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General NPI Number Information
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NPI Number | 1396702627
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Entity Type | Organization
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Legal Business Name | JACKSON TOWNSHIP FRANKLIN COUNTY
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 3650 HOOVER RD
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City | GROVE CITY
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State | OH
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Zip | 43123-2452
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Country | US
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Telephone | 614-875-5588
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Fax | 614-875-2691
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Provider Business Mailing Address
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Address Line | PO BOX 639661
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City | CINCINNATI
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State | OH
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Zip | 45263-9661
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Country | US
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Telephone | 614-875-5588
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Fax | 614-875-2691
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | RANDY LITTLE JR.
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Credential |
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Telephone | 614-875-5588
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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 |
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License Number State |
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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 | 02030005013
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License Number State | OH
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