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General NPI Number Information
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NPI Number | 1013010800
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Entity Type | Organization
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Legal Business Name | TOWN OF CASTLE ROCK
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 300 PERRY ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2421
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Country | US
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Telephone | 303-660-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WILCOX ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMS BATTALION CHIEF
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Name | RICH MARTIN
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Credential |
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Telephone | 303-660-1066
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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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