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General NPI Number Information
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NPI Number | 1760540090
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Entity Type | Organization
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Legal Business Name | CITY FINANCE OFFICER
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 206 MAIN ST
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City | HECLA
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State | SD
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Zip | 57446
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Country | US
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Telephone | 605-994-2333
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Fax | 605-994-2336
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | HECLA
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State | SD
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Zip | 57446-0188
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Country | US
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Telephone | 605-994-2333
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Fax | 605-994-2336
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Authorized Official
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Title or Position | MAYOR
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Name | RONALD JOE CORLISS
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Credential |
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Telephone | 605-994-2333
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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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