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General NPI Number Information
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NPI Number | 1639253446
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Entity Type | Organization
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Legal Business Name | CITY OF LAUREL
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 115 W 1ST ST
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City | LAUREL
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State | MT
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Zip | 59044-3001
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Country | US
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Telephone | 406-628-7431
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Fax | 406-628-2289
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | LAUREL
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State | MT
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Zip | 59044-0010
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Country | US
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Telephone | 406-628-7431
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Fax | 406-628-2289
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Authorized Official
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Title or Position | MAYOR
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Name | KENNETH E OLSON JR.
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Credential |
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Telephone | 406-628-8456
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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 | 020
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License Number State | MT
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