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General NPI Number Information
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NPI Number | 1689373664
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Entity Type | Organization
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Legal Business Name | WEST BEND/BETHEL VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 5630 WEST BEND RD
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City | COFFEEVILLE
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State | AL
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Zip | 36524
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Country | US
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Telephone | 251-769-8227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 368
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City | COFFEEVILLE
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State | AL
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Zip | 36524-0368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF/PARAMEDIC
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Name | MATTHEW MILSTEAD
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Credential | NRP, FP-C
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Telephone | 251-769-8227
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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 |
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License Number State |
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