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General NPI Number Information
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NPI Number | 1649213752
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Entity Type | Organization
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Legal Business Name | CITY OF BLAIRSTOWN
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 205 MAIN ST NE
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City | BLAIRSTOWN
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State | IA
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Zip | 52209
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Country | US
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Telephone | 319-454-0078
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Fax | 319-454-6709
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Provider Business Mailing Address
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Address Line | 309 LOCUST ST NW PO BOX 270
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City | BLAIRSTOWN
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State | IA
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Zip | 52209
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Country | US
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Telephone | 319-454-0078
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Fax | 319-454-6709
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Authorized Official
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Title or Position | DIRECTOR
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Name | MELINDA SUE BRITTAIN
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Credential | PARAMEDIC
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Telephone | 319-454-0078
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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 | 2060900
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License Number State | IA
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