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General NPI Number Information
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NPI Number | 1841529971
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Entity Type | Organization
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Legal Business Name | VAN BUREN TWP. VOLUNTEER FIRE DEPT.
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Dates
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Enumeration Date | 12/21/2009
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 5784 S JUDSON ST
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City | STAR CITY
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State | IN
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Zip | 46985-9119
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Country | US
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Telephone | 574-595-7180
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 317
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City | STAR CITY
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State | IN
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Zip | 46985-0317
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Country | US
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Telephone | 574-595-7180
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MR. MARK A FOX
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Credential |
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Telephone | 574-595-0784
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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 |
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License Number State |
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