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General NPI Number Information
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NPI Number | 1780683532
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Entity Type | Organization
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Legal Business Name | CITY OF FORT MITCHELL OFFICE OF TREASURER
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 2355 DIXIE HWY
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City | FT MITCHELL
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State | KY
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Zip | 41017-2948
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Country | US
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Telephone | 859-331-1267
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Fax | 859-331-6102
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Provider Business Mailing Address
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Address Line | PO BOX 9150
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City | PADUCAH
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State | KY
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Zip | 42002-9150
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Country | US
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Telephone | 270-744-9600
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Fax | 270-744-8642
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Authorized Official
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Title or Position | CHIEF
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Name | ADAM L FULLER
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Credential |
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Telephone | 859-331-1267
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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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