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General NPI Number Information
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NPI Number | 1053343624
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Entity Type | Organization
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Legal Business Name | CITY OF SIERRA VISTA
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1011 N CORONADO DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-6334
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Country | US
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Telephone | 520-439-2162
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Fax | 520-417-6932
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Provider Business Mailing Address
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Address Line | 1011 N CORONADO DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-6334
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Country | US
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Telephone | 520-439-2162
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Fax | 520-417-6932
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Authorized Official
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Title or Position | JR. ACCOUNTANT
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Name | ANGELA LOUCKS
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Credential |
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Telephone | 520-439-2162
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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 | 25
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License Number State | AZ
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