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General NPI Number Information
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NPI Number | 1750748448
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Entity Type | Organization
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Legal Business Name | VILLAGE OF SUGARCREEK
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 152 N. BROADWAY
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City | SUGARCREEK
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State | OH
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Zip | 44681
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Country | US
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Telephone | 330-852-4316
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Fax |
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Provider Business Mailing Address
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Address Line | 410 S BROADWAY ST
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City | SUGARCREEK
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State | OH
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Zip | 44681-9382
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Country | US
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Telephone | 330-852-4112
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Fax | 330-852-2225
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | MRS. CONNIE S BOWEN
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Credential |
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Telephone | 330-852-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 022559400
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License Number State | OH
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