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General NPI Number Information
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NPI Number | 1861487134
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Entity Type | Organization
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Legal Business Name | CRAWFORD COUNTY AUDITOR
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 713 EAST STATE ROAD 64
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City | ENGLISH
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State | IN
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Zip | 47118-0336
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Country | US
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Telephone | 812-338-2463
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Fax | 812-338-2463
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | ENGLISH
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State | IN
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Zip | 47118-0336
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Country | US
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Telephone | 812-338-2463
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Fax | 812-338-2463
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOHN O GOTT
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Credential | PARAMEDIC
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Telephone | 812-338-2463
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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 | 0180
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License Number State | IN
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