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General NPI Number Information
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NPI Number | 1730861048
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Entity Type | Organization
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Legal Business Name | CITY OF GRINNELL
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 1020 SPRING ST
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City | GRINNELL
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State | IA
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Zip | 50112-1943
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Country | US
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Telephone | 641-236-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 520 4TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1947
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Country | US
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Telephone | 641-236-2600
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR, ASSISTANT CHIEF
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Name | PATRICK DUFFEY
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Credential |
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Telephone | 641-888-0922
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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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