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General NPI Number Information
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NPI Number | 1801224563
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF ERIE TOWNSHIP TRUSTEES
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 5585 W HARBOR RD
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City | PORT CLINTON
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State | OH
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Zip | 43452
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Country | US
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Telephone | 419-635-2820
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Fax | 419-635-2834
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Provider Business Mailing Address
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Address Line | PO BOX 312
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City | LACARNE
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State | OH
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Zip | 43439-0312
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Country | US
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Telephone | 419-635-2010
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Fax |
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | AMY L HOLCOMB
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Credential |
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Telephone | 419-635-2010
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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 | 020362200
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License Number State | OH
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