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General NPI Number Information
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NPI Number | 1548291933
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Entity Type | Organization
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Legal Business Name | CITY OF LANSING
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 120 E SHIAWASSEE ST
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City | LANSING
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State | MI
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Zip | 48933-1219
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Country | US
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Telephone | 517-483-4563
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 674091
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City | DETROIT
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State | MI
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Zip | 48267-0001
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Country | US
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Telephone | 517-485-0001
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Fax |
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Authorized Official
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Title or Position | EMS CAPTAIN
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Name | LOY G LACK
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Credential |
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Telephone | 517-896-9090
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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 | 331003
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License Number State | MI
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