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General NPI Number Information
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NPI Number | 1477614774
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Entity Type | Organization
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Legal Business Name | NEW ALBIN VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 04/05/2014
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Provider Practice Location Address
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Address Line | 118 MAIN ST. NE
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City | NEW ALBIN
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State | IA
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Zip | 52160
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Country | US
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Telephone | 563-544-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 118 MAIN ST. NE
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City | NEW ALBIN
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State | IA
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Zip | 52160
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Country | US
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Telephone | 563-544-4260
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | PAUL WHALEN
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Credential | EMT-B
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Telephone | 563-544-4260
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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 | 2030200
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License Number State | IA
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