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General NPI Number Information
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NPI Number | 1467281881
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Entity Type | Organization
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Legal Business Name | EAGLEVILLE JOINT AMBULANCE DISTRICT
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 3995 EAGLEVILLE RD
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City | FOSTORIA
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State | OH
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Zip | 44830-9743
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Country | US
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Telephone | 419-701-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 4657 EMERSON RD
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City | BLOOMDALE
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State | OH
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Zip | 44817-9769
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MARKIE FRUTH
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Credential |
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Telephone | 419-561-8316
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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 |
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License Number State |
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