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General NPI Number Information
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NPI Number | 1598851412
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Entity Type | Organization
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Legal Business Name | CITY OF CLYDE
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 412 WASHINGTON ST 412 WASHINGTON ST.
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City | CLYDE
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State | KS
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Zip | 66938-9500
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Country | US
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Telephone | 785-446-2211
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Fax | 785-446-3669
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Provider Business Mailing Address
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Address Line | 412 WASHINGTON ST P.O BOX 308
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City | CLYDE
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State | KS
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Zip | 66938-9500
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Country | US
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Telephone | 785-446-2211
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Fax | 785-446-3669
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | DENNIS STREIT
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Credential |
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Telephone | 785-446-2211
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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 | 380
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License Number State | KS
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