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General NPI Number Information
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NPI Number | 1669631693
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Entity Type | Organization
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Legal Business Name | RENO VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 250 CORNERVILLE RD
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City | MARIETTA
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State | OH
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Zip | 45750
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Country | US
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Telephone | 740-376-9330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 346
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City | RENO
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State | OH
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Zip | 45773-0346
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Country | US
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Telephone | 740-376-9330
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Fax |
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | MR. RANDY J LISK
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Credential |
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Telephone | 740-376-9330
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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 |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | OH
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