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General NPI Number Information
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NPI Number | 1568444859
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Entity Type | Organization
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Legal Business Name | BURGHILL-VERNON VOLUNTEER FIRE DEPARTMENT ASSOCIATION
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 6915 STATE ROUTE 88
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City | KINSMAN
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State | OH
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Zip | 44428-9790
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Country | US
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Telephone | 330-772-3013
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Fax | 330-772-2874
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Provider Business Mailing Address
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Address Line | 6915 B STATE ROUTE 88
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City | KINSMAN
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State | OH
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Zip | 44428-9790
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Country | US
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Telephone | 330-448-6220
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Fax | 330-448-6220
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Authorized Official
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Title or Position | BILLING CLERK
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Name | DENISE M MOTT
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Credential |
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Telephone | 330-448-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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