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General NPI Number Information
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NPI Number | 1770604498
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Entity Type | Organization
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Legal Business Name | TOWN OF COLLEGE SPRINGS
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 503 MISSOURI AVE
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City | COLLEGE SPRINGS
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State | IA
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Zip | 51637-9000
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Country | US
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Telephone | 712-582-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 503 MISSOURI AVE
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City | COLLEGE SPRINGS
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State | IA
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Zip | 51637-9000
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Country | US
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Telephone | 712-582-3358
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Fax |
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Authorized Official
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Title or Position | AMBULANCE DIRECTOR
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Name | MR. PAUL D GRIFFITH
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Credential | EMT
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Telephone | 712-370-4012
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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 | 2730300
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License Number State | IA
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