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General NPI Number Information
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NPI Number | 1750323341
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Entity Type | Organization
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Legal Business Name | MIDDLEBURY CIVIL TWP
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 117 N MAIN ST
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City | MIDDLEBURY
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State | IN
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Zip | 46540-9085
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Country | US
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Telephone | 574-825-3446
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Fax | 574-825-3118
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | LEWISVILLE
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State | NC
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Zip | 27023-0429
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Country | US
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Telephone | 734-224-4474
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Fax | 336-791-0196
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Authorized Official
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Title or Position | EMS ADMINISTRATOR
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Name | KRISTINA MUELLER
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Credential |
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Telephone | 574-825-3446
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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 | 0056
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License Number State | IN
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