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General NPI Number Information
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NPI Number | 1467481259
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Entity Type | Organization
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Legal Business Name | OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 144 E 1ST ST
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City | OVID
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State | MI
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Zip | 48866-9742
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Country | US
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Telephone | 989-834-5550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2122
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City | RIVERVIEW
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State | MI
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Zip | 48193-1122
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Country | US
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Telephone | 734-479-6300
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Fax | 734-479-6319
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | STEVEN PEASE
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Credential |
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Telephone | 989-834-5707
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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 | 191003
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License Number State | MI
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