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General NPI Number Information
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NPI Number | 1467781617
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Entity Type | Organization
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Legal Business Name | SCIPIO TOWNSHIP VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 1105 W. 250 SOUTH
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City | LA PORTE
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State | IN
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Zip | 46352-1991
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Country | US
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Telephone | 219-325-8280
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1991 1105 WEST 250 SOUTH
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City | LA PORTE
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State | IN
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Zip | 46352-1991
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Country | US
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Telephone | 219-325-8280
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | ERIC LEE FENSTERMAKER
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Credential |
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Telephone | 219-210-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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