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General NPI Number Information
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NPI Number | 1639053150
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Entity Type | Organization
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Legal Business Name | WEST LIBERTY AND RURAL TOWNSHIPS FIRE AND RESCUE AGENCY
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 109 E 2ND ST
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City | WEST LIBERTY
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State | IA
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Zip | 52776-1500
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Country | US
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Telephone | 319-627-2303
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Fax |
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Provider Business Mailing Address
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Address Line | 109 E 2ND ST
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City | WEST LIBERTY
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State | IA
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Zip | 52776-1500
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Country | US
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Telephone | 319-627-2303
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | KIRT SICKELS
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Credential | AEMT
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Telephone | 319-627-2303
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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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