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NPI 1417190026

NPI 1417190026 : MORRIS FIREMAN'S ASSOCIATION, INC : BATESVILLE, IN

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General NPI Number Information
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    NPI Number           |    1417190026
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORRIS FIREMAN'S ASSOCIATION, INC 
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Dates
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    Enumeration Date     |    04/13/2009
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    Last Update Date     |    04/13/2009
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Provider Practice Location Address
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    Address Line         |    4702 CHURCH ST. 
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    City                 |    BATESVILLE
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    State                |    IN
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    Zip                  |    47006
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    Country              |    US
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    Telephone            |    812-934-5414
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    Fax                  |    812-934-5414
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Provider Business Mailing Address
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    Address Line         |    PO BOX 13 
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    City                 |    MORRIS
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    State                |    IN
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    Zip                  |    47033-0013
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    Country              |    US
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    Telephone            |    812-934-5414
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    Fax                  |    812-934-5414
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Authorized Official
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    Title or Position    |    CHIEF
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    Name                 |    MR. RANDY J MERKEL 
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    Credential           |    
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    Telephone            |    812-934-5414
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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       |    1150
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    License Number State |    IN
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