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General NPI Number Information
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NPI Number | 1689864415
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Entity Type | Organization
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Legal Business Name | VILLAGE OF GENEVA ON THE LAKE INC
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 4931 S WARNER DR
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City | GENEVA
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State | OH
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Zip | 44041-9719
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Country | US
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Telephone | 800-962-1484
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Fax | 513-772-4464
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251-9907
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Country | US
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Telephone | 800-962-1484
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Fax | 513-772-4464
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | KIMBERLY A MCKINLEY
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Credential |
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Telephone | 440-466-8197
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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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