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General NPI Number Information
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NPI Number | 1841330362
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Entity Type | Organization
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Legal Business Name | EATON EMERGENCY MEDICAL TECHNICIANS INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 103 W INDIANA AVE
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City | EATON
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State | IN
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Zip | 47338-8832
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Country | US
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Telephone | 765-396-3748
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Fax | 765-396-4427
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Provider Business Mailing Address
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Address Line | 103 W INDIANA AVE PO BOX 414
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City | EATON
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State | IN
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Zip | 47338-8832
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Country | US
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Telephone | 765-396-3748
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Fax | 765-396-4427
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | WENDY SMITH
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Credential |
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Telephone | 317-775-6753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0289
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License Number State | IN
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