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General NPI Number Information
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NPI Number | 1649428632
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Entity Type | Organization
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Legal Business Name | CITY OF CEYLON
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 301 W MAIN ST
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City | CEYLON
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State | MN
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Zip | 56121-5002
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Country | US
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Telephone | 507-632-4653
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Fax | 507-632-4653
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Provider Business Mailing Address
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Address Line | 301 W MAIN ST P. O. BOX 328
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City | CEYLON
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State | MN
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Zip | 56121-5002
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Country | US
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Telephone | 507-632-4653
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Fax | 507-632-4653
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Authorized Official
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Title or Position | CLERK/TREASURER
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Name | MR. WILLIAM F. DITZ
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Credential |
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Telephone | 507-632-4653
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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 | 0327
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License Number State | MN
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