Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1265596183 |
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| LBN Legal business name | WATERLOO FIRE DEPARTMENT | ||||||||||||
| Authorized official | JAMIE BENDER - (SQUAD CAPTAIN) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 12/22/2006 | ||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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WATERLOO FIRE DEPARTMENT
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