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General NPI Number Information
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NPI Number | 1871655712
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Entity Type | Organization
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Legal Business Name | CITY OF EARLVILLE
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 134 NORTHERN AVE
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City | EARLVILLE
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State | IA
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Zip | 52041-0000
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Country | US
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Telephone | 563-923-3365
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Fax | 563-923-3115
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Provider Business Mailing Address
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Address Line | 19 NORTHERN AVE
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City | EARLVILLE
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State | IA
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Zip | 52041-2547
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Country | US
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Telephone | 563-923-3365
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Fax | 563-923-3115
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVE STAINER
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Credential |
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Telephone | 563-608-1145
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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 | 28658
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License Number State | IA
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