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General NPI Number Information
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NPI Number | 1043216740
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Entity Type | Organization
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Legal Business Name | CITY OF MANHATTAN BEACH
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 1400 HIGHLAND AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-4756
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Country | US
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Telephone | 310-802-5200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 269110
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City | SACRAMENTO
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State | CA
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Zip | 95826-9110
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Country | US
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Telephone | 800-906-6552
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Fax | 916-381-5047
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MICHAEL LANG
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Credential |
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Telephone | 310-802-5200
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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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