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General NPI Number Information
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NPI Number | 1710393954
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Entity Type | Organization
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Legal Business Name | MUSKINGUM TOWNSHIP TTEE
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 102 OAK GROVE LANE
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City | MARIETTA
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State | OH
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Zip | 45750-9419
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Country | US
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Telephone | 740-373-8147
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Fax | 304-521-1576
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Provider Business Mailing Address
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Address Line | 836 4TH AVENUE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1407
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Country | US
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Telephone | 304-521-1576
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Fax | 304-521-1576
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | LESLEY D FISHER
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Credential | EMT-B
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Telephone | 740-885-8251
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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 | OH PHARM BD
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License Number State | OH
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