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General NPI Number Information
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NPI Number | 1578634655
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Entity Type | Organization
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Legal Business Name | BETHLEHEM FIRE & RESCUE, INC.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 34 MAIN ST S
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City | NAVARRE
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State | OH
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Zip | 44662-1141
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Country | US
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Telephone | 330-879-5800
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Fax | 330-879-5815
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Provider Business Mailing Address
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Address Line | 34 MAIN ST S
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City | NAVARRE
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State | OH
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Zip | 44662-1141
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Country | US
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Telephone | 330-879-5800
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Fax | 330-879-5815
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Authorized Official
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Title or Position | EMS BILLING COORDINATOR
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Name | MR. RICK ANNEN
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Credential |
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Telephone | 330-879-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 020304250
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License Number State | OH
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