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NPI 1992905418

NPI 1992905418 : CITY OF PLYMOUTH : PLYMOUTH, WI

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General NPI Number Information
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    NPI Number           |    1992905418
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF PLYMOUTH 
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Dates
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    Enumeration Date     |    07/23/2007
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    111 E MAIN ST 
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    City                 |    PLYMOUTH
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    State                |    WI
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    Zip                  |    53073-1742
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    Country              |    US
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    Telephone            |    920-893-1331
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10802 FARNAM DR 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68154-3237
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    Country              |    US
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    Telephone            |    531-895-5853
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    Fax                  |    877-343-0131
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |     RYAN  PAFFORD 
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    Credential           |    
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    Telephone            |    531-895-5853
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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       |    6001248
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    License Number State |    WI
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