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General NPI Number Information
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NPI Number | 1912042037
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Entity Type | Organization
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Legal Business Name | STEWARDSON FIRE AND AMBULANCE PROTECTION DISTRICT
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 214 NORTH PINE
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City | STEWARDSON
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State | IL
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Zip | 62463-0145
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Country | US
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Telephone | 217-682-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 214 NORTH PINE
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City | STEWARDSON
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State | IL
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Zip | 62463-0145
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SANDY BUGENHAGEN
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Credential |
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Telephone | 217-682-5710
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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 |
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License Number State |
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