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General NPI Number Information
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NPI Number | 1629025713
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Entity Type | Organization
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Legal Business Name | CITY OF SOUTH BEND
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 1222 S MICHIGAN ST
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City | SOUTH BEND
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State | IN
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Zip | 46601-3430
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Country | US
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Telephone | 574-235-9250
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Fax | 574-235-9071
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Provider Business Mailing Address
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Address Line | 1222 S MICHIGAN ST
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City | SOUTH BEND
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State | IN
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Zip | 46601-3430
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Country | US
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Telephone | 574-235-9250
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Fax | 574-235-9071
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | MR. TODD L SKWARCAN
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Credential | EMT-P
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Telephone | 574-235-9257
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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 | 0139
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License Number State | IN
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