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General NPI Number Information
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NPI Number | 1679567721
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Entity Type | Organization
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Legal Business Name | CITY OF ELLINWOOD
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 104 E 2ND ST
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City | ELLINWOOD
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State | KS
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Zip | 67526-1627
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Country | US
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Telephone | 620-564-2408
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Fax | 620-564-2401
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | ELLINWOOD
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State | KS
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Zip | 67526-0278
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Country | US
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Telephone | 620-564-2408
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Fax | 620-564-2401
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MS. DEBBIE M. GLENN
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Credential | NREMT-P
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Telephone | 620-564-2408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 550
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License Number State | KS
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