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General NPI Number Information
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NPI Number | 1700800067
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Entity Type | Organization
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Legal Business Name | HINCKLEY FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 911 N SYCAMORE
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City | HINCKLEY
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State | IL
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Zip | 60520
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Country | US
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Telephone | 815-286-7711
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Fax | 815-286-3216
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | WHEELING
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State | IL
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Zip | 60090-0457
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Country | US
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Telephone | 847-577-8811
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Fax | 847-577-7967
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JAY VANLANDUYT
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Credential |
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Telephone | 815-286-7711
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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 | 101502
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License Number State | IL
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