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General NPI Number Information
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NPI Number | 1841220688
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Entity Type | Organization
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Legal Business Name | COUNTY OF WHITE
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 314 E CHERRY ST
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City | CARMI
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State | IL
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Zip | 62821-1862
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Country | US
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Telephone | 618-382-2604
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Fax | 618-384-4084
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Provider Business Mailing Address
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Address Line | 314 E CHERRY ST PO BOX 339
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City | CARMI
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State | IL
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Zip | 62821-1862
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Country | US
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Telephone | 618-382-2604
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Fax | 618-384-4084
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | LANCE TROUSDALE
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Credential |
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Telephone | 618-382-2604
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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 | 5004
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License Number State | IL
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