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General NPI Number Information
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NPI Number | 1578627832
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Entity Type | Organization
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Legal Business Name | HARRIS TOWNSHIP BOARD OF TRUSTEES
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 321 RICE STREET
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City | ELMORE
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State | OH
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Zip | 43416
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Country | US
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Telephone | 419-862-3323
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Fax | 419-862-2854
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Provider Business Mailing Address
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Address Line | PO BOX 21727
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City | CLEVELAND
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State | OH
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Zip | 44121-0727
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Country | US
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Telephone | 440-605-9117
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Fax | 440-442-4443
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | DAVE ROBENSTEIN
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Credential |
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Telephone | 419-862-3323
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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