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General NPI Number Information
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NPI Number | 1770509945
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Entity Type | Organization
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Legal Business Name | CITY OF EUREKA SPRINGS
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 146 E VAN BUREN
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-8800
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Country | US
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Telephone | 479-253-9616
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Fax | 479-253-9006
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Provider Business Mailing Address
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Address Line | 146 E VAN BUREN
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-8800
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Country | US
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Telephone | 479-253-9616
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Fax | 479-253-9006
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Authorized Official
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Title or Position | CHIEF
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Name | MR. EDDIE DAVIS
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Credential | EMT-P
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Telephone | 479-253-9616
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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 | 0134
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License Number State | AR
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