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General NPI Number Information
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NPI Number | 1932151669
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Entity Type | Organization
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Legal Business Name | CITY OF GREEN
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 4200 MASSILLON ROAD
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City | GREEN
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State | OH
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Zip | 44232-0278
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Country | US
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Telephone | 330-896-6610
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Fax | 330-896-2933
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | GREEN
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State | OH
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Zip | 44232-0278
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Country | US
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Telephone | 330-896-6603
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Fax | 330-896-6606
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. STEVE SCHMIDT
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Credential |
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Telephone | 330-896-6603
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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 | 020347051
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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 | 020347050
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License Number State | OH
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