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General NPI Number Information
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NPI Number | 1457358632
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Entity Type | Organization
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Legal Business Name | CITY OF PROVIDENCE OFFICE OF TREASURER
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Dates
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Enumeration Date | 07/04/2005
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 220 N WILLOW ST
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City | PROVIDENCE
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State | KY
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Zip | 42450-1273
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Country | US
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Telephone | 270-667-2011
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Fax | 270-667-2012
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Provider Business Mailing Address
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Address Line | PO BOX 589
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City | MADISONVILLE
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State | KY
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Zip | 42431-5011
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Country | US
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Telephone | 270-824-8123
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Fax | 270-824-8140
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BRAD CURRY
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Credential |
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Telephone | 270-667-2011
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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 | 1331
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License Number State | KY
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