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General NPI Number Information
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NPI Number | 1508999491
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Entity Type | Organization
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Legal Business Name | SAYLOR TWP TRUSTEES
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 211 NW 54TH AVE
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City | DES MOINES
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State | IA
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Zip | 50313-1725
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Country | US
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Telephone | 515-289-1089
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Fax | 515-289-1826
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Provider Business Mailing Address
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Address Line | 211 NW 54TH AVE
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City | DES MOINES
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State | IA
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Zip | 50313-1725
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Country | US
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Telephone | 515-289-1089
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Fax | 515-289-1826
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | SCOTT CROSS
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Credential | EMT-PS
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Telephone | 515-289-1089
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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 | 2771600
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License Number State | IA
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