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General NPI Number Information
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NPI Number | 1891809018
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Entity Type | Organization
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Legal Business Name | MADISON TOWNSHIP BD OF TRUSTEES
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 5655 MOSIMAN RD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-0001
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Country | US
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Telephone | 513-424-3384
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Fax | 513-424-4659
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251-9907
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Country | US
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Telephone | 800-962-1484
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Fax | 513-527-0659
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | BRADLEY JORDAN PETERS
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Credential |
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Telephone | 513-678-5167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 02-0353550
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 02-1623900
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License Number State | OH
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