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General NPI Number Information
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NPI Number | 1760554083
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Entity Type | Organization
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Legal Business Name | TOWN OF FARMINGTON
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 210 SOUTH 4TH ST.
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City | FARMINGTON
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State | IA
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Zip | 52626-0154
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Country | US
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Telephone | 319-878-3367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 154
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City | FARMINGTON
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State | IA
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Zip | 52626-0154
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Country | US
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Telephone | 319-878-3367
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Fax |
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Authorized Official
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Title or Position | SERVICE DIRECTOR
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Name | WILLIAM FOSTER CLINE
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Credential | EMT-PS
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Telephone | 319-878-3367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 2890900
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License Number State | IA
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