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General NPI Number Information
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NPI Number | 1982663290
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Entity Type | Organization
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Legal Business Name | LISLE-WOODRIDGE FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1005 SCHOOL ST
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City | LISLE
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State | IL
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Zip | 60532-1866
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Country | US
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Telephone | 630-353-3000
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Fax | 630-353-3095
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Provider Business Mailing Address
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Address Line | 1005 SCHOOL ST
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City | LISLE
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State | IL
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Zip | 60532-1866
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Country | US
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Telephone | 630-353-3000
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Fax | 630-353-3095
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Authorized Official
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Title or Position | EMS CHIEF
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Name | DANIEL E. ANDERSON
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Credential | EMS CHIEF
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Telephone | 630-353-3000
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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 | 8 7575
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License Number State | IL
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