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General NPI Number Information
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NPI Number | 1588663348
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Entity Type | Organization
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Legal Business Name | CUMBERLAND RIVER VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 13279 HWY 119 SOUTH
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City | PARTRIDGE
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State | KY
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Zip | 40862-6417
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Country | US
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Telephone | 606-589-5930
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Fax |
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Provider Business Mailing Address
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Address Line | 836 4TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | TERESA OSBORNE
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Credential |
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Telephone | 606-589-5930
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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 | 1635
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License Number State | KY
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