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General NPI Number Information
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NPI Number | 1790997450
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Entity Type | Organization
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Legal Business Name | CITY OF HUDSON
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 SOUTH OVIATT STREET
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City | HUDSON
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State | OH
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Zip | 44236-3002
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Country | US
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Telephone | 330-342-1842
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Fax | 330-342-1843
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Provider Business Mailing Address
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Address Line | 40 SOUTH OVIATT STREET
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City | HUDSON
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State | OH
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Zip | 44236-3002
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Country | US
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Telephone | 330-342-1842
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Fax | 330-342-1843
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. R BRUCE GRAHAM
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Credential | NREMT-P
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Telephone | 330-342-1842
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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 | 77-E850
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License Number State | OH
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