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General NPI Number Information
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NPI Number | 1629142138
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Entity Type | Organization
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Legal Business Name | TAMPICO FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 105 N. MAIN ST
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City | TAMPICO
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State | IL
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Zip | 61283
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Country | US
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Telephone | 815-438-2082
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Fax | 815-438-2082
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Provider Business Mailing Address
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Address Line | PO BOX 471 105 N MAIN ST
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City | TAMPICO
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State | IL
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Zip | 61283-0471
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Country | US
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Telephone | 815-438-2082
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Fax | 815-438-2082
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Authorized Official
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Title or Position | CO-COORDINATOR
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Name | SHERRY FETROW
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Credential |
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Telephone | 815-438-2082
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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 | 138302
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License Number State | IL
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