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General NPI Number Information
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NPI Number | 1801924055
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Entity Type | Organization
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Legal Business Name | PERRY TOWNSHIP TRUSTEES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1325 PERRY DR SW
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City | CANTON
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State | OH
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Zip | 44710-1034
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Country | US
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Telephone | 330-833-3865
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Fax | 330-833-7972
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Provider Business Mailing Address
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Address Line | PO BOX 621
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City | LEWIS CENTER
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State | OH
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Zip | 43035-0621
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Country | US
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Telephone | 330-833-3865
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Fax | 330-833-7972
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Authorized Official
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Title or Position | CHIEF
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Name | LARRY S SEDLOCK
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Credential |
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Telephone | 330-833-3865
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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 |
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License Number State |
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