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General NPI Number Information
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NPI Number | 1538498068
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Entity Type | Organization
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Legal Business Name | NORTH MONTGOMERY VOLUNTEER FIRE DEPTARTMENT
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 3670 COOSADA FERRY RD
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City | MONTGOMERY
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State | AL
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Zip | 36110-1034
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Country | US
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Telephone | 334-269-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 3670 COOSADA FERRY RD
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City | MONTGOMERY
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State | AL
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Zip | 36110-1034
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Country | US
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Telephone | 334-269-6202
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. STACI BROOKS
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Credential |
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Telephone | 334-269-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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