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General NPI Number Information
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NPI Number | 1952339087
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Entity Type | Organization
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Legal Business Name | WASHINGTON TOWNSHIP TRUSTEE
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 311 PRODUCTION DR
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City | AVON
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State | IN
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Zip | 46123-7031
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Country | US
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Telephone | 317-272-2155
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Fax | 317-272-2733
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Provider Business Mailing Address
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Address Line | 311 PRODUCTION DR
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City | AVON
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State | IN
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Zip | 46123-7031
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Country | US
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Telephone | 317-272-2155
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Fax | 317-272-2733
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Authorized Official
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Title or Position | TRUSTEE
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Name | MR. RYAN MILLER
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Credential |
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Telephone | 317-775-6753
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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 | 0374
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License Number State | IN
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