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General NPI Number Information
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NPI Number | 1851980973
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Entity Type | Organization
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Legal Business Name | BIENVILLE PARISH WARD 4 & 5 FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 1721 MILITARY RD
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City | RINGGOLD
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State | LA
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Zip | 71068-2587
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Country | US
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Telephone | 318-894-9120
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Fax | 318-894-9122
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Provider Business Mailing Address
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Address Line | PO BOX 868
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City | RINGGOLD
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State | LA
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Zip | 71068-0868
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Country | US
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Telephone | 318-894-9120
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Fax | 318-894-9122
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. BOBBY L CONLY
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Credential |
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Telephone | 318-422-2144
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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 |
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License Number State |
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