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General NPI Number Information
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NPI Number | 1033229893
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Entity Type | Organization
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Legal Business Name | SOUTHWEST ADAMS COUNTY FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 3365 W 65TH AVE
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City | DENVER
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State | CO
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Zip | 80221
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Country | US
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Telephone | 303-429-3597
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Fax | 303-429-3598
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Provider Business Mailing Address
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Address Line | 26 GARDEN CENTER 3C
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City | BROOMFIELD
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State | CO
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Zip | 80020
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Country | US
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Telephone | 303-469-1133
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Fax | 303-469-4976
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | GEORGE DITOLLA
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Credential |
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Telephone | 303-429-3597
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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 | ADC00106
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License Number State | CO
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