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General NPI Number Information
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NPI Number | 1467584029
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Entity Type | Organization
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Legal Business Name | MONCLOVA TOWNSHIP
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 4395 ALBON RD
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City | MONCLOVA
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State | OH
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Zip | 43542-9346
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Country | US
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Telephone | 419-865-9423
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Fax | 419-865-8481
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251-9907
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Country | US
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Telephone | 800-962-1484
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Fax | 513-772-4464
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MATTHEW HOMIK
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Credential |
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Telephone | 419-865-9423
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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 | 02-0533650
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | OH
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