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General NPI Number Information
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NPI Number | 1609919018
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Entity Type | Organization
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Legal Business Name | OSGOOD AREA LIFE SQUAD INC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 125 W MAIN ST
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City | OSGOOD
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State | OH
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Zip | 45351-0101
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Country | US
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Telephone | 419-582-2216
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | OSGOOD
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State | OH
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Zip | 45351-0101
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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 | BOARD PRESIDENT
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Name | CYRIL PLEIMAN
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Credential |
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Telephone | 419-582-2304
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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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