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General NPI Number Information
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NPI Number | 1033869987
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Entity Type | Organization
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Legal Business Name | CITY OF GREAT FALLS
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 105 9TH ST S
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City | GREAT FALLS
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State | MT
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Zip | 59401-3715
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Country | US
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Telephone | 406-870-0860
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2458
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City | EUREKA
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State | MT
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Zip | 59917-2458
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Country | US
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Telephone | 406-870-8070
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF OF EMS
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Name | JEREMY DALE VIRTS
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Credential |
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Telephone | 406-791-8974
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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 |
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License Number State |
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