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General NPI Number Information
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NPI Number | 1568527356
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Entity Type | Organization
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Legal Business Name | EPWORTH COMMUNITY FIREMEN
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 191 JACOBY DR E
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City | EPWORTH
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State | IA
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Zip | 52045-7719
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Country | US
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Telephone | 563-876-3321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 436
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City | EPWORTH
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State | IA
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Zip | 52045-0436
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Country | US
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Telephone | 563-557-2869
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | DAN KRAMER
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Credential |
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Telephone | 563-557-2869
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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 |
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