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NPI 1447327630

NPI 1447327630 : CITY OF ROCKWELL CITY : ROCKWELL CITY, IA

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General NPI Number Information
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    NPI Number           |    1447327630
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF ROCKWELL CITY 
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Dates
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    Enumeration Date     |    11/30/2006
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    Last Update Date     |    07/16/2007
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Provider Practice Location Address
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    Address Line         |    335 MAIN ST 
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    City                 |    ROCKWELL CITY
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    State                |    IA
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    Zip                  |    50579-1536
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    Country              |    US
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    Telephone            |    712-297-7041
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    Fax                  |    712-297-5626
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Provider Business Mailing Address
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    Address Line         |    335 MAIN ST 
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    City                 |    ROCKWELL CITY
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    State                |    IA
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    Zip                  |    50579-1536
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    Country              |    US
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    Telephone            |    712-297-7041
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    Fax                  |    712-297-5626
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Authorized Official
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    Title or Position    |    AMBULANCE DIRECTOR
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    Name                 |     TRAE  THOMAS 
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    Credential           |    
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    Telephone            |    712-297-7199
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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       |    2130700
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    License Number State |    IA
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