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General NPI Number Information
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NPI Number | 1548378664
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Entity Type | Organization
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Legal Business Name | CITY OF ALTOONA
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 950 VENBURY DR
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City | ALTOONA
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State | IA
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Zip | 50009-2487
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Country | US
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Telephone | 515-967-2216
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Fax | 515-967-7146
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Provider Business Mailing Address
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Address Line | 950 VENBURY DR
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City | ALTOONA
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State | IA
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Zip | 50009-2487
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Country | US
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Telephone | 515-967-2216
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Fax | 515-967-7146
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Authorized Official
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Title or Position | DEPUTY CHIEF OF EMS
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Name | MR. SEAN P MCANDREW
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Credential |
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Telephone | 515-967-2216
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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 | 2770100
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License Number State | IA
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