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General NPI Number Information
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NPI Number | 1982892444
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Entity Type | Organization
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Legal Business Name | NORMAN TOWNSHIP
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 17206 8TH STREET
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City | WELLSTON
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State | MI
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Zip | 49689-0143
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Country | US
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Telephone | 231-848-4495
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Fax | 231-848-4494
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Provider Business Mailing Address
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Address Line | PO BOX 143 17206 8TH STREET
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City | WELLSTON
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State | MI
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Zip | 49689-0143
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Country | US
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Telephone | 231-848-4495
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Fax | 231-848-4495
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Authorized Official
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Title or Position | CAPTAIN
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Name | RONALD COLE
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Credential | EMT, CADS
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Telephone | 231-848-4495
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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 | 511002
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License Number State | MI
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