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General NPI Number Information
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NPI Number | 1528269883
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Entity Type | Organization
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Legal Business Name | CITY OF NEWARK
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 75 S 4TH ST
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City | NEWARK
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State | OH
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Zip | 43055-5435
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Country | US
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Telephone | 740-670-7621
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2022
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City | MOUNT VERNON
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State | OH
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Zip | 43050-7222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SAFETY DIRECTOR
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Name | TIM HICKMAN I
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Credential |
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Telephone | 740-349-6750
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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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