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General NPI Number Information
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NPI Number | 1982612750
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF CONCORD
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 23625 CR 18
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City | ELKHART
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State | IN
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Zip | 46516-9193
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Country | US
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Telephone | 574-875-9644
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Fax | 574-875-7687
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Provider Business Mailing Address
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Address Line | 2804 TOLEDO RD
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City | ELKHART
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State | IN
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Zip | 46516-5778
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Country | US
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Telephone | 574-293-6899
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Fax | 574-294-7465
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Authorized Official
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Title or Position | TOWNSHIP TRUSTEE
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Name | JAMES E WEEBER
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Credential |
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Telephone | 574-293-6889
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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 | 1047
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License Number State | IN
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