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General NPI Number Information
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NPI Number | 1902904246
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Entity Type | Organization
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Legal Business Name | WHITELAND VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 141 S STATE ST
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City | WHITELAND
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State | IN
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Zip | 46184-1638
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Country | US
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Telephone | 317-535-8280
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Fax | 317-535-6703
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Provider Business Mailing Address
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Address Line | PO BOX 2915
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City | ELKHART
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State | IN
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Zip | 46515-2915
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Country | US
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Telephone | 574-293-3030
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Fax | 574-294-1345
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | JONATHAN CABENAGH
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Credential |
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Telephone | 317-775-6753
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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 | 0517
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License Number State | IN
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