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General NPI Number Information
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NPI Number | 1598766453
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Entity Type | Organization
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Legal Business Name | CHARDON FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 110 S HAMBDEN ST
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City | CHARDON
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State | OH
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Zip | 44024-1219
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Country | US
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Telephone | 440-285-4665
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Fax | 440-285-8320
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251-9907
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Country | US
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Telephone | 800-962-1484
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF (ASST FIRE CHIEF)
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Name | LARRY GASPER
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Credential |
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Telephone | 440-279-0905
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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 | 02037925013
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License Number State | OH
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