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General NPI Number Information
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NPI Number | 1841210366
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Entity Type | Organization
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Legal Business Name | CITY OF EDWARDSVILLE
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 118 HILLSBORO AVE
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-1622
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Country | US
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Telephone | 618-692-7500
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Fax | 618-692-7558
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Provider Business Mailing Address
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Address Line | 118 HILLSBORO AVE
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-1622
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Country | US
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Telephone | 618-692-7500
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Fax | 618-692-7558
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Authorized Official
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Title or Position | CITY CLERK/COMPTROLLER
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Name | MS. PATTY J THIEDE
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Credential |
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Telephone | 618-692-7500
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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 | 4818
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License Number State | IL
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