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General NPI Number Information
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NPI Number | 1962570507
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Entity Type | Organization
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Legal Business Name | CITY OF ROCK ISLAND
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 1313 5TH AVE
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City | ROCK ISLAND
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State | IL
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Zip | 61201-8523
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Country | US
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Telephone | 309-732-2800
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Fax | 309-732-2813
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Provider Business Mailing Address
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Address Line | 1313 5TH AVE
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City | ROCK ISLAND
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State | IL
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Zip | 61201-8523
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Country | US
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Telephone | 309-732-2800
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Fax | 309-732-2813
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JEFFREY CARL YERKEY
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Credential |
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Telephone | 309-732-2801
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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 | 02 2511
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License Number State | IL
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