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General NPI Number Information
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NPI Number | 1053534131
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Entity Type | Organization
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Legal Business Name | TONTO BASIN FIRE DISTRICT
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 373 S OLD HWY 188
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City | TONTO BASIN
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State | AZ
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Zip | 85553-0048
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Country | US
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Telephone | 928-479-2203
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Fax | 928-479-2102
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Provider Business Mailing Address
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Address Line | PO BOX 48
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City | TONTO BASIN
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State | AZ
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Zip | 85553-0048
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Country | US
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Telephone | 928-479-2203
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Fax | 928-479-2102
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. STEVEN C HOLT
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Credential | CEP
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Telephone | 928-479-2203
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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 | CONAZ112
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License Number State | AZ
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