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General NPI Number Information
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NPI Number | 1851615413
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Entity Type | Organization
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Legal Business Name | WVFD JOINT FIRE DISTRICT
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 9601 E CENTER ST
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City | WINDHAM
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State | OH
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Zip | 44288-1010
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Country | US
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Telephone | 330-326-2225
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Fax | 330-326-2225
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Provider Business Mailing Address
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Address Line | 9601 E CENTER ST P.O. BOX 344
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City | WINDHAM
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State | OH
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Zip | 44288-1010
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Country | US
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Telephone | 330-326-2225
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Fax | 330-326-2225
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. CLARENCE E. SIMPSON SR.
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Credential | EMT
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Telephone | 330-326-2225
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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 | 02-0849250-10827
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License Number State | OH
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