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General NPI Number Information
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NPI Number | 1629024807
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Entity Type | Organization
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Legal Business Name | VILLAGE OF MORTON
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 300 W COURTLAND ST
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City | MORTON
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State | IL
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Zip | 61550-1409
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Country | US
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Telephone | 309-266-9001
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Fax | 309-266-6782
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | MORTON
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State | IL
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Zip | 61550-0103
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Country | US
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Telephone | 309-266-9001
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Fax | 309-266-6782
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. JOSEPH L KELLEY
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Credential |
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Telephone | 309-266-9001
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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 |
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License Number State | IL
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