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General NPI Number Information
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NPI Number | 1487732400
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Entity Type | Organization
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Legal Business Name | CITY OF PLYMOUTH
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 111 N CENTER ST
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City | PLYMOUTH
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State | IN
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Zip | 46563-2101
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Country | US
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Telephone | 574-936-8291
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Fax |
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Provider Business Mailing Address
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Address Line | 124 N MICHIGAN ST P O BOX 492
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City | PLYMOUTH
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State | IN
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Zip | 46563-2133
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Country | US
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Telephone | 574-936-2124
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Fax | 574-936-4371
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Authorized Official
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Title or Position | CLERK TREASURER
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Name | LYNN M GORSKI
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Credential |
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Telephone | 574-936-2124
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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 | 0169
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License Number State | IN
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