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General NPI Number Information
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NPI Number | 1689981110
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Entity Type | Organization
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Legal Business Name | NORTHFIELD CENTER-SAGAMORE
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 60 WEST AURORA ROAD
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City | NORTHFIELD CENTER
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State | OH
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Zip | 44067
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Country | US
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Telephone | 330-467-7410
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Fax | 330-468-6576
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Provider Business Mailing Address
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Address Line | PO BOX 621005
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City | CINCINNATI
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State | OH
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Zip | 45262-1005
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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 | FIRE DISTRICT CLERK
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Name | MRS. JANICE E. HETZEL
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Credential |
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Telephone | 330-467-7410
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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 |
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License Number State |
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