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General NPI Number Information
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NPI Number | 1003896077
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Entity Type | Organization
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Legal Business Name | DESOTO COUNTY FIRE RESCUE
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1985 SE CARLSTROM FIELD RD
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City | ARCADIA
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State | FL
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Zip | 34266-7748
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Country | US
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Telephone | 863-993-4842
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Fax | 863-993-4844
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Provider Business Mailing Address
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Address Line | 122 N HILLSBOROUGH AVE
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City | ARCADIA
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State | FL
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Zip | 34266
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Country | US
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Telephone | 863-993-4842
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Fax | 863-993-4844
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | CHAD A JORGENSEN
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Credential |
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Telephone | 863-993-4842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 002495
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License Number State | FL
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