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General NPI Number Information
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NPI Number | 1861401556
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Entity Type | Organization
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Legal Business Name | CARPENTER TOWNSHIP TTEE
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 33 N. INDIANA STREET
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City | REMINGTON
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State | IN
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Zip | 47977
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Country | US
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Telephone | 219-261-2374
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Fax |
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Provider Business Mailing Address
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Address Line | 705 N NEBRASKA ST
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City | REMINGTON
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State | IN
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Zip | 47977-8676
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Country | US
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Telephone | 219-261-2374
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | GLORIA HAWKES
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Credential |
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Telephone | 219-261-2374
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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 | 0228
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License Number State | IN
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