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General NPI Number Information
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NPI Number | 1134583586
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Entity Type | Organization
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Legal Business Name | RANCHO CUCAMONGA FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 10500 CIVIC CENTER DRIVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 909-477-2770
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Fax | 909-477-2772
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Provider Business Mailing Address
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Address Line | 10500 CIVIC CENTER DRIVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 909-477-2770
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Fax | 909-477-2772
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | DENNIS M. COSTELLO
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Credential |
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Telephone | 909-477-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State |
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