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General NPI Number Information
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NPI Number | 1972505337
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Entity Type | Organization
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Legal Business Name | BEAVERCREEK TOWNSHIP
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 2195 DAYTON XENIA RD
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City | BEAVERCREEK
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State | OH
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Zip | 45434-7154
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Country | US
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Telephone | 937-426-1213
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Fax |
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Provider Business Mailing Address
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Address Line | 851 ORCHARD LN
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City | BEAVERCREEK TOWNSHIP
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State | OH
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Zip | 45434-7228
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Country | US
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Telephone | 937-426-1213
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | DAVID A. VANDENBOS
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Credential |
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Telephone | 937-426-1213
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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 | FCY.020302250-13
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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 | 02-0302250
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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