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General NPI Number Information
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NPI Number | 1134601743
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Entity Type | Organization
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Legal Business Name | CITY OF MISSOULA
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 625 E PINE ST
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City | MISSOULA
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State | MT
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Zip | 59802-4633
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Country | US
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Telephone | 406-552-6210
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Fax | 406-552-6184
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Provider Business Mailing Address
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Address Line | 435 RYMAN ST
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City | MISSOULA
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State | MT
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Zip | 59802-4207
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Country | US
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Telephone | 406-552-6210
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Fax | 406-552-6184
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JEFF BRANDT
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Credential |
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Telephone | 406-552-6210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 410
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License Number State | MT
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