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General NPI Number Information
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NPI Number | 1689809261
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Entity Type | Organization
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Legal Business Name | A A TWSP VFD INC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 6494 ST RD 42
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City | EMINENCE
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State | IN
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Zip | 46125-0225
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Country | US
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Telephone | 765-528-2437
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Fax | 765-528-2169
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Provider Business Mailing Address
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Address Line | PO BOX 225
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City | EMINENCE
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State | IN
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Zip | 46125-0225
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Country | US
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Telephone | 765-528-2437
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Fax | 765-528-2169
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. DEVONEY R COLLINS
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Credential |
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Telephone | 765-528-2437
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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 | 0677
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License Number State | IN
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