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General NPI Number Information
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NPI Number | 1114080363
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Entity Type | Organization
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Legal Business Name | DONNELLY RURAL FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 244 W ROSEBERRY RD
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City | DONNELLY
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State | ID
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Zip | 83615-0382
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Country | US
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Telephone | 208-325-8619
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Fax | 208-325-5081
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Provider Business Mailing Address
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Address Line | PO BOX 1178
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City | DONNELLY
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State | ID
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Zip | 83615-1100
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Country | US
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Telephone | 208-325-8619
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Fax | 208-325-5081
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MELONIE A SKIFTUN
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Credential |
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Telephone | 208-325-8619
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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 | 7423
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License Number State | ID
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