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General NPI Number Information
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NPI Number | 1780695072
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Entity Type | Organization
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Legal Business Name | BROWN CIVIL TOWNSHIP
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 471 N SAMUEL MOORE PKWY
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City | MOORESVILLE
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State | IN
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Zip | 46158-1333
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Country | US
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Telephone | 317-831-1734
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Fax | 317-831-8697
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Provider Business Mailing Address
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Address Line | 471 N SAMUEL MOORE PKWY
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City | MOORESVILLE
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State | IN
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Zip | 46158-1333
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Country | US
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Telephone | 317-831-1734
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Fax | 317-831-8697
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Authorized Official
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Title or Position | TOWNSHIP TRUSTEE
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Name | MARK HARRIS
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Credential |
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Telephone | 317-831-1734
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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 | 0089
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License Number State | IN
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