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General NPI Number Information
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NPI Number | 1427380146
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Entity Type | Organization
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Legal Business Name | WADESVILLE FIRE DEPT
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 4200 PRINCETON STREET
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City | WADESVILLE
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State | IN
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Zip | 47638
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Country | US
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Telephone | 812-673-4277
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 180 4200 PRINCETON ST
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City | WADESVILLE
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State | IN
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Zip | 47638
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Country | US
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Telephone | 812-673-4277
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | MR. JASON BRENT WILLIAMS
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Credential |
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Telephone | 812-673-4277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 341600000X
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License Number State | IN
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