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General NPI Number Information
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NPI Number | 1114560984
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Entity Type | Organization
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Legal Business Name | CITY OF UKIAH
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 1500 S STATE ST
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City | UKIAH
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State | CA
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Zip | 95482-6709
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Country | US
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Telephone | 707-462-7921
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Fax | 707-462-2938
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Provider Business Mailing Address
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Address Line | 1500 S STATE ST
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City | UKIAH
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State | CA
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Zip | 95482-6709
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Country | US
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Telephone | 707-462-7921
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Fax | 707-462-2938
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Authorized Official
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Title or Position | FIRE CHIEF/EMT-P
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Name | DOUG HUTCHISON
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Credential |
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Telephone | 707-463-6263
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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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