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General NPI Number Information
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NPI Number | 1821206491
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Entity Type | Organization
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Legal Business Name | LICKING TWP EMERGENCY SQUAD AND FIRE DEPT INC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 6705 DILLON HILLS DR
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City | NASHPORT
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State | OH
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Zip | 43830-9798
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Country | US
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Telephone | 740-453-1888
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Fax | 740-450-8617
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | NASHPORT
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State | OH
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Zip | 43830-0067
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Country | US
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Telephone | 740-453-1888
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Fax | 740-450-8617
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Authorized Official
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Title or Position | EMS LIEUTENANT
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Name | SPENCER BELL
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Credential |
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Telephone | 740-453-1888
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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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