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General NPI Number Information
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NPI Number | 1508856899
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Entity Type | Organization
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Legal Business Name | MORGANTOWN RURAL FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 269 N HIGHLAND ST
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City | MORGANTOWN
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State | IN
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Zip | 46160-9724
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Country | US
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Telephone | 812-597-1120
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Fax | 812-597-0452
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Provider Business Mailing Address
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Address Line | 269 N HIGHLAND ST
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City | MORGANTOWN
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State | IN
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Zip | 46160-9724
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Country | US
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Telephone | 812-597-1120
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Fax | 812-597-0452
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. CLYCE SMITH
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Credential |
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Telephone | 812-597-1120
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0670
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License Number State | IN
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