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General NPI Number Information
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NPI Number | 1992829071
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Entity Type | Organization
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Legal Business Name | CITY OF UTE
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 158 E MAIN ST
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City | UTE
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State | IA
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Zip | 51060-0000
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Country | US
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Telephone | 712-885-2571
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Fax |
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Provider Business Mailing Address
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Address Line | 169 W MAIN ST
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City | UTE
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State | IA
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Zip | 51060-7705
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Country | US
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Telephone | 712-885-2571
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | MISSY J WISE
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Credential |
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Telephone | 515-887-3553
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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 |
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License Number State |
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