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General NPI Number Information
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NPI Number | 1053994194
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Entity Type | Organization
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Legal Business Name | CITY OF GALLUP
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1800 S SECOND ST
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City | GALLUP
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State | NM
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Zip | 87301-5838
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Country | US
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Telephone | 505-722-4195
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1270
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City | GALLUP
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State | NM
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Zip | 87305-1270
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Country | US
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Telephone | 505-863-1383
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Fax |
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | JESSICA CREECH
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Credential |
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Telephone | 505-863-1383
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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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