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General NPI Number Information
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NPI Number | 1588730626
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Entity Type | Organization
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Legal Business Name | PRAIRIE TOWNSHIP TRUSTEES
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 118 EAST JACKSON STREET
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City | HOLMESVILLE
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State | OH
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Zip | 44633
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Country | US
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Telephone | 330-279-3112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 245
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City | HOLMESVILLE
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State | OH
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Zip | 44633-0245
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Country | US
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Telephone | 330-279-3112
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Fax |
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Authorized Official
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Title or Position | FISCIAL OFFICER
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Name | MRS. A. CAROL SNYDER
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Credential |
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Telephone | 330-279-2522
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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 | 020370900
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License Number State | OH
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