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General NPI Number Information
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NPI Number | 1801902507
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Entity Type | Organization
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Legal Business Name | DARIEN WOODRIDGE FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 7550 LYMAN AVE
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City | DARIEN
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State | IL
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Zip | 60561-4392
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Country | US
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Telephone | 630-910-2200
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Fax | 630-910-2083
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Provider Business Mailing Address
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Address Line | 395 W LAKE ST
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City | ELMHURST
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State | IL
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Zip | 60126-1508
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Country | US
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Telephone | 630-903-1280
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Fax | 630-910-2083
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. DAVID LAMBRIGHT
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Credential |
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Telephone | 630-910-2200
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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 | 87211
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License Number State | IL
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