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General NPI Number Information
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NPI Number | 1528605532
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Entity Type | Organization
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Legal Business Name | FERN CREEK FIRE PROTECTION DISTRICT HOLDING COMPANY INC.
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 6200 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40291-3004
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Country | US
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Telephone | 502-744-8820
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91025
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City | LOUISVILLE
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State | KY
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Zip | 40291-0025
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Country | US
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Telephone | 502-657-1216
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Fax |
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Authorized Official
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Title or Position | MEDICAL OFFICER
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Name | MR. BEN NEAL
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Credential | B.S., EMT-P
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Telephone | 502-239-7075
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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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