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General NPI Number Information
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NPI Number | 1023159829
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Entity Type | Organization
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Legal Business Name | COUNTY OF ESMERALDA
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 233 CROOK STREET
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City | GOLDFIELD
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State | NV
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Zip | 89013
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Country | US
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Telephone | 775-485-6309
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Fax | 775-485-6376
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | GOLDFIELD
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State | NV
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Zip | 89013-0547
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Country | US
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Telephone | 775-485-6309
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Fax | 775-485-6376
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Authorized Official
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Title or Position | COUNTY CLERK & TREASURER
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Name | MRS. LACINDA ELGAN
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Credential |
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Telephone | 775-485-6309
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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 | 06345
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License Number State | NV
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