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General NPI Number Information
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NPI Number | 1861969578
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Entity Type | Organization
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Legal Business Name | CITY OF CENTERVILLE
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 314 E MAPLE ST
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City | CENTERVILLE
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State | IA
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Zip | 52544-2238
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Country | US
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Telephone | 641-856-2314
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Fax | 641-437-1498
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Provider Business Mailing Address
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Address Line | PO BOX 578
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City | CENTERVILLE
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State | IA
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Zip | 52544-0578
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Country | US
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Telephone | 641-437-4339
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Fax | 641-437-1498
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Authorized Official
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Title or Position | CITY ADMINISTRATOR
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Name | JASON FRASER
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Credential |
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Telephone | 641-437-4339
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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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