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General NPI Number Information
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NPI Number | 1770531519
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Entity Type | Organization
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Legal Business Name | CITY OF HIGGINSVILLE
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 211 W 19TH ST
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City | HIGGINSVILLE
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State | MO
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Zip | 64037-1510
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Country | US
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Telephone | 660-584-6780
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Fax | 660-584-3663
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Provider Business Mailing Address
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Address Line | PO BOX 781621
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City | WICHITA
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State | KS
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Zip | 67278-1621
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Country | US
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Telephone | 855-626-9660
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Fax | 833-953-0588
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | DOUGLAS W KENNEY
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Credential |
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Telephone | 660-584-2106
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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 | 107018
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License Number State | MO
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