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General NPI Number Information
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NPI Number | 1487018628
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Entity Type | Organization
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Legal Business Name | STICKNEY VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 201 MAIN STREET
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City | STICKNEY
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State | SD
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Zip | 57375-0271
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Country | US
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Telephone | 605-732-4329
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MAIN STREET PO BOX 271
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City | STICKNEY
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State | SD
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Zip | 57375-0271
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Country | US
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Telephone | 605-732-4329
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Fax |
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Authorized Official
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Title or Position | AMBULANCE DIRECTOR
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Name | MRS. CHERIE LYNN SAUVAGE
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Credential | EMT
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Telephone | 605-680-4706
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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 |
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License Number State |
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