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General NPI Number Information
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NPI Number | 1033535075
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 590 NORTH RUSH ROAD
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City | RUSH
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State | CO
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Zip | 80833-0097
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Country | US
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Telephone | 719-478-2345
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Fax | 719-478-2345
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Provider Business Mailing Address
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Address Line | PO BOX 97 590 NORTH RUSH ROAD
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City | RUSH
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State | CO
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Zip | 80833-0097
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Country | US
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Telephone | 719-478-2345
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Fax | 719-478-2345
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Authorized Official
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Title or Position | EMS CAPTAIN
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Name | TROY ALLEN COWDEN
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Credential | EMT-IV
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Telephone | 719-478-2345
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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 | 2013-010ELPASOCOUNTY
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License Number State | CO
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