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General NPI Number Information
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NPI Number | 1417955873
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Entity Type | Organization
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Legal Business Name | BOARD OF COMMISSIONERS OF NEWTON COUNTY
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 9951 N 100 E
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City | LAKE VILLAGE
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State | IN
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Zip | 46349-9317
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Country | US
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Telephone | 888-663-9866
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Fax | 219-345-2064
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Provider Business Mailing Address
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Address Line | 9951 N 100 E
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City | LAKE VILLAGE
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State | IN
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Zip | 46349-9317
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Country | US
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Telephone | 888-663-9866
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Fax | 219-345-2064
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEREMY KALIZAE
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Credential | EMT-P
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Telephone | 888-663-9866
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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 | 0251
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License Number State | IN
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