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General NPI Number Information
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NPI Number | 1922006857
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Entity Type | Organization
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Legal Business Name | CAMPBELL COUNTY FIRE PROTECTION DISTRICT ONE
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 6844 FOUR MILE RD
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City | MELBOURNE
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State | KY
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Zip | 41059-9506
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Country | US
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Telephone | 859-635-9255
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Fax | 859-441-0394
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Provider Business Mailing Address
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Address Line | CAMPBELL COUNTY FIRE PROTECTION DISTRICT ONE 836 4TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1407
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Country | US
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Telephone | 304-521-1576
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Fax | 304-521-1576
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Authorized Official
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Title or Position | EMS CHIEF
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Name | WAYNE WERRMANN JR.
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Credential |
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Telephone | 859-635-9256
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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 | 1481
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License Number State | KY
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