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General NPI Number Information
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NPI Number | 1992739551
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Entity Type | Organization
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Legal Business Name | WASHINGTON TOWNSHIP
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 1900 S.S. DAVIS DR.
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City | WEST PORTSMOUTH
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State | OH
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Zip | 45663
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Country | US
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Telephone | 740-858-2993
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Fax |
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Provider Business Mailing Address
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Address Line | 10361 SPARTAN DR
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City | CINCINNATI
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State | OH
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Zip | 45215-1220
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Country | US
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Telephone | 800-962-1484
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Fax | 513-772-4464
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Authorized Official
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Title or Position | TRUSTEE
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Name | JEFFREY S BAUER
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Credential |
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Telephone | 740-858-2993
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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 | 020320900
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License Number State | OH
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