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General NPI Number Information
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NPI Number | 1013187319
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Entity Type | Organization
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Legal Business Name | SNOHOMISH COUNTY FIRE DISTRICT 23
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 31907 MOUNTAIN LOOP HWY
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City | GRANITE FALLS
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State | WA
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Zip | 98252-9529
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Country | US
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Telephone | 360-691-1868
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Fax | 360-691-1868
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Provider Business Mailing Address
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Address Line | PO BOX 1557
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City | GRANITE FALLS
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State | WA
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Zip | 98252-1557
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Country | US
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Telephone | 360-691-1868
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Fax | 360-691-1868
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. CAROLYN M MORRIS
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Credential |
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Telephone | 360-691-1868
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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 | 31D23
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License Number State | WA
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