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General NPI Number Information
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NPI Number | 1730130428
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Entity Type | Organization
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Legal Business Name | HAMBURG FIRE PROTECTION AGENCY
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 711 MAIN ST
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City | HAMBURG
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State | IA
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Zip | 51640-1164
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Country | US
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Telephone | 712-382-1303
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Fax | 712-382-1073
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | HAMBURG
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State | IA
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Zip | 51640-0125
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Country | US
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Telephone | 712-382-1303
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Fax | 712-382-1073
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Authorized Official
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Title or Position | RESCUE CAPTAIN
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Name | DAVID OWEN
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Credential |
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Telephone | 712-382-1303
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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 | 2360100
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License Number State | IA
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