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General NPI Number Information
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NPI Number | 1649509142
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Entity Type | Organization
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Legal Business Name | CITY OF KENDALLVILLE FIRE DEPARTMENT
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 304 E NORTH ST
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City | KENDALLVILLE
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State | IN
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Zip | 46755-1128
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Country | US
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Telephone | 260-347-5010
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Fax | 260-347-7035
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Provider Business Mailing Address
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Address Line | 304 E NORTH ST
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City | KENDALLVILLE
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State | IN
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Zip | 46755-1128
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Country | US
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Telephone | 260-347-5010
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Fax | 260-347-7035
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Authorized Official
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Title or Position | CHIEF
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Name | MIKE RIEHM
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Credential |
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Telephone | 260-347-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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