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General NPI Number Information
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NPI Number | 1053574673
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Entity Type | Organization
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Legal Business Name | UNIFIED FIRE AUTHORITY-SALT LAKE
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 3380 S 900 W
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City | SALT LAKE CITY
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State | UT
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Zip | 84119-4102
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Country | US
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Telephone | 801-743-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 S 900 W
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City | SALT LAKE CITY
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State | UT
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Zip | 84119-4102
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Country | US
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Telephone | 801-743-7200
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SHIRLEY PERKINS
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Credential |
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Telephone | 801-743-7281
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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 | 1867L
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License Number State | UT
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