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General NPI Number Information
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NPI Number | 1972501286
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Entity Type | Organization
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Legal Business Name | CITY OF URBANDALE
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3927 121ST ST
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City | URBANDALE
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State | IA
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Zip | 50323-2300
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Country | US
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Telephone | 515-278-3970
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Fax | 515-278-3972
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Provider Business Mailing Address
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Address Line | 3927 121ST ST
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City | URBANDALE
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State | IA
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Zip | 50323-2300
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Country | US
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Telephone | 515-278-3970
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Fax | 515-278-3972
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Authorized Official
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Title or Position | FIRE CHIEF-DEPT DIRECTOR
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Name | MR. JERRY W HOLT
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Credential |
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Telephone | 515-331-6741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 2771200
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License Number State | IA
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