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General NPI Number Information
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NPI Number | 1033384508
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Entity Type | Organization
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Legal Business Name | SUN LAKES FIRE DISTRICT
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 25020 S ALMA SCHOOL RD
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City | SUN LAKES
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State | AZ
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Zip | 85248-6100
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Country | US
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Telephone | 480-895-9343
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Fax | 480-895-6899
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Provider Business Mailing Address
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Address Line | PO BOX 52625
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City | PHOENIX
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State | AZ
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Zip | 85072-2625
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Country | US
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Telephone | 602-522-1522
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Fax | 602-522-2552
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | PAUL S WILSON
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Credential |
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Telephone | 480-895-9343
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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 | 12
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License Number State | AZ
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