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General NPI Number Information
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NPI Number | 1033142443
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Entity Type | Organization
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Legal Business Name | INCORPORATED COUNTY OF LOS ALAMOS
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 999 CENTRAL AVE SUITE 200
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City | LOS ALAMOS
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State | NM
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Zip | 87544-3330
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Country | US
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Telephone | 505-662-8318
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Fax | 505-662-8302
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Provider Business Mailing Address
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Address Line | 999 CENTRAL AVE STE 200
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City | LOS ALAMOS
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State | NM
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Zip | 87544-3328
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Country | US
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Telephone | 505-662-8318
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Fax | 505-662-8302
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Authorized Official
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Title or Position | EMS DIVISION CHIEF
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Name | CHRISTOPHER BARTLETT
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Credential |
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Telephone | 505-709-5042
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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 | 41036
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License Number State | NM
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