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General NPI Number Information
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NPI Number | 1801067046
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Entity Type | Organization
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Legal Business Name | DEVOLA VOLUNTEER FIRE COMPANY INC.
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Dates
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Enumeration Date | 03/16/2008
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 1286 MASONIC PARK ROAD
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City | MARIETTA
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State | OH
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Zip | 45750
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Country | US
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Telephone | 740-374-7369
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Fax | 740-374-0986
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Provider Business Mailing Address
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Address Line | 836 4TH AVENUE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1407
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Country | US
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Telephone | 304-522-7533
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Fax | 304-522-4222
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Authorized Official
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Title or Position | PROVIDER RELATIONS SPECIALIST
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Name | MIKE WHEELER
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Credential |
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Telephone | 800-676-4785
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 020351000
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License Number State | OH
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