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General NPI Number Information
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NPI Number | 1548307887
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Entity Type | Organization
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Legal Business Name | SEAMAN LIFE SQUAD
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17955 ST RTE 247
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City | SEAMAN
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State | OH
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Zip | 45679
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Country | US
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Telephone | 937-386-2242
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 347
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City | SEAMAN
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State | OH
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Zip | 45679-0347
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Country | US
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Telephone | 800-875-0136
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Fax | 937-619-3068
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JOHN CAMPTON
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Credential |
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Telephone | 937-386-2242
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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 | OH
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