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General NPI Number Information
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NPI Number | 1750334504
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Entity Type | Organization
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Legal Business Name | WOOD DALE FIRE PROTECTION DIST NO 1
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 589 N WOOD DALE RD
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City | WOOD DALE
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State | IL
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Zip | 60191-1535
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Country | US
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Telephone | 630-766-1147
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6253
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City | CAROL STREAM
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State | IL
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Zip | 60197-6253
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Country | US
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Telephone | 630-530-2988
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Fax | 630-530-9750
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | PATRICK JOHL
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Credential |
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Telephone | 630-766-1147
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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 | 97226
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License Number State | IL
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