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General NPI Number Information
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NPI Number | 1578940789
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Entity Type | Organization
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Legal Business Name | BURRTON CONSOLIDATED FIRE DISTRICT #5
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 111 N BURRTON AVE
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City | BURRTON
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State | KS
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Zip | 67020-2009
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Country | US
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Telephone | 620-463-2100
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Fax | 620-463-3129
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | BURRTON
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State | KS
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Zip | 67020-0202
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Country | US
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Telephone | 620-463-2100
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Fax | 620-463-3129
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JON JAY ROBERTS
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Credential |
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Telephone | 620-899-3703
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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 | 225
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License Number State | KS
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