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General NPI Number Information
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NPI Number | 1992872022
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Entity Type | Organization
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Legal Business Name | VILLAGE OF PLYMOUTH
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 911 MARY FATE PARK DR
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City | PLYMOUTH
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State | OH
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Zip | 44865
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Country | US
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Telephone | 419-687-5101
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Fax | 419-687-9046
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Provider Business Mailing Address
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Address Line | 48 W BROADWAY ST
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City | PLYMOUTH
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State | OH
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Zip | 44865-1108
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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 | FISCAL OFFICER
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Name | DIANN JAMERSON
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Credential |
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Telephone | 419-687-4331
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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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