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General NPI Number Information
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NPI Number | 1518087436
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Entity Type | Organization
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Legal Business Name | HARLEM ROSCOE FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 10544 MAIN ST
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City | ROSCOE
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State | IL
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Zip | 61073-8829
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Country | US
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Telephone | 815-623-7867
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Fax | 815-623-8831
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Provider Business Mailing Address
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Address Line | 10544 MAIN ST PO BOX 450
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City | ROSCOE
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State | IL
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Zip | 61073-0450
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Country | US
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Telephone | 815-623-7867
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Fax | 815-623-8831
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Authorized Official
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Title or Position | CHIEF
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Name | DONALD SHOEVLIN
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Credential |
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Telephone | 815-623-7867
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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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