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General NPI Number Information
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NPI Number | 1780676395
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Entity Type | Organization
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Legal Business Name | MIFFLIN TOWNSHIP TRUSTEES
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 475 ROCKY FORK BLVD
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City | GAHANNA
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State | OH
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Zip | 43230-3336
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Country | US
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Telephone | 614-471-0542
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 634352
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City | CINCINNATI
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State | OH
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Zip | 45263-4352
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Country | US
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Telephone | 614-471-4494
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | KENNY KING
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Credential |
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Telephone | 614-496-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 02-0308953
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License Number State | OH
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | FCY.020308951-13
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License Number State | OH
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