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General NPI Number Information
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NPI Number | 1467533125
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Entity Type | Organization
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Legal Business Name | CREVE COEUR FIRE PROTECTION DIST
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 11221 OLIVE BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-7652
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Country | US
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Telephone | 800-538-8278
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Fax | 580-628-2273
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Provider Business Mailing Address
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Address Line | 11221 OLIVE BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-7652
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Country | US
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Telephone | 800-538-8278
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Fax | 580-628-2273
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | LARRY ASHBY
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Credential |
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Telephone | 800-538-8278
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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 | 189014
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License Number State | MO
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