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General NPI Number Information
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NPI Number | 1770686842
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Entity Type | Organization
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Legal Business Name | CITY OF WABASH
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 202 S WABASH ST
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City | WABASH
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State | IN
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Zip | 46992
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Country | US
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Telephone | 260-563-4171
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Fax | 260-563-0876
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Provider Business Mailing Address
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Address Line | 202 S WABASH ST
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City | WABASH
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State | IN
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Zip | 46992
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Country | US
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Telephone | 260-563-4171
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Fax | 260-563-0876
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Authorized Official
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Title or Position | CAC, CACO, CADS
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Name | LINDSEY T SCHENKEL
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Credential |
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Telephone | 260-569-9274
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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 |
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License Number State |
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