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General NPI Number Information
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NPI Number | 1912052804
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Entity Type | Organization
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Legal Business Name | VILLAGE OF OAKWOOD
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 106 S. SCOTT ST.
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City | OAKWOOD
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State | IL
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Zip | 61858-0031
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Country | US
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Telephone | 217-354-4255
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Fax | 217-354-4901
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Provider Business Mailing Address
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Address Line | PO BOX 31
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City | OAKWOOD
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State | IL
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Zip | 61858-0031
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Country | US
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Telephone | 217-354-4255
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Fax | 217-354-4901
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Authorized Official
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Title or Position | AMBULANCE COORDINATOR
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Name | MR. TERRY HUME
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Credential |
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Telephone | 217-304-5980
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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 | 653102
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License Number State | IL
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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 | 653101
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License Number State | IL
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