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General NPI Number Information
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NPI Number | 1679659635
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Entity Type | Organization
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Legal Business Name | BOLIVAR VOLUNTEER FIRE DEPARTMENT, INC.
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 456 WATER STREET
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City | BOLIVAR
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State | OH
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Zip | 44612
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Country | US
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Telephone | 330-874-3115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 136
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City | BOLIVAR
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State | OH
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Zip | 44612-0136
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Country | US
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Telephone | 330-874-3115
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MR. SHAWN LYNCH
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Credential |
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Telephone | 330-874-3115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 020346250
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License Number State | OH
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