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General NPI Number Information
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NPI Number | 1811076441
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Entity Type | Organization
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Legal Business Name | CITY OF GUTHRIE CENTER
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 102 N 1ST ST
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City | GUTHRIE CENTER
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State | IA
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Zip | 50115-1308
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Country | US
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Telephone | 641-332-2190
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Fax |
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Provider Business Mailing Address
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Address Line | 102 N 1ST ST
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City | GUTHRIE CENTER
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State | IA
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Zip | 50115-1308
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Country | US
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Telephone | 641-332-2190
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Fax |
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Authorized Official
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Title or Position | CITY CLERK/ADMINISTRATOR
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Name | LAURA M IMERMAN
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Credential |
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Telephone | 641-332-2190
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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 | 2390300
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License Number State | IA
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