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General NPI Number Information
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NPI Number | 1770508004
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Entity Type | Organization
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Legal Business Name | SUGAR GROVE FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 25 MUNICIPAL DR
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City | SUGAR GROVE
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State | IL
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Zip | 60554-6900
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Country | US
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Telephone | 630-466-4513
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Fax | 630-466-0911
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Provider Business Mailing Address
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Address Line | 25 MUNICIPAL DR
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City | SUGAR GROVE
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State | IL
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Zip | 60554-6900
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Country | US
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Telephone | 630-466-4513
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Fax | 336-510-5894
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | BRENDAN MORAN
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Credential |
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Telephone | 630-466-4513
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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 | 7815
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License Number State | IL
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