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General NPI Number Information
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NPI Number | 1932482973
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Entity Type | Organization
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Legal Business Name | CITY OF FORT DODGE
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 1515 CENTRAL AVE
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City | FORT DODGE
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State | IA
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Zip | 50501-4247
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Country | US
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Telephone | 515-576-1031
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Fax | 515-955-2396
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Provider Business Mailing Address
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Address Line | 819 1ST AVE S
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City | FORT DODGE
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State | IA
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Zip | 50501-4739
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Country | US
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Telephone | 515-573-7156
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Fax | 515-573-2084
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. DAVID LUERS
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Credential |
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Telephone | 515-576-1031
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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 | 1234567
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License Number State | IA
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