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General NPI Number Information
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NPI Number | 1669513024
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Entity Type | Organization
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Legal Business Name | WASHBURN FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 207 E WALNUT ST
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City | WASHBURN
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State | IL
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Zip | 61570
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Country | US
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Telephone | 309-248-7721
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Fax | 309-248-7219
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Provider Business Mailing Address
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Address Line | PO BOX 23
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City | WASHBURN
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State | IL
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Zip | 61570-0023
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Country | US
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Telephone | 309-248-7219
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Fax | 309-248-7219
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Authorized Official
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Title or Position | PRESIDENT
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Name | LADD HARMS
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Credential |
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Telephone | 309-253-5625
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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 | 22583
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License Number State | IL
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