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General NPI Number Information
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NPI Number | 1508115783
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF CLINTON TRUSTEES
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 205 E MCCONKEY STREET
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City | SHREVE
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State | OH
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Zip | 44676
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Country | US
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Telephone | 330-567-3411
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Fax | 330-567-0037
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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 | 888-709-4357
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Fax | 937-619-3028
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Authorized Official
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Title or Position | CHIEF
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Name | SCOTT ERVIN
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Credential |
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Telephone | 330-262-0294
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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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