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General NPI Number Information
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NPI Number | 1144259805
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Entity Type | Organization
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Legal Business Name | COUNTY OF SUMMIT
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 210 EAST 400 SOUTH
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City | KAMAS
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State | UT
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Zip | 84036-0266
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Country | US
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Telephone | 435-783-6276
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Fax | 435-783-6277
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Provider Business Mailing Address
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Address Line | PO BOX 95970
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-0970
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-9502
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Authorized Official
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Title or Position | AUDITOR
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Name | BLAKE L FRAZIER
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Credential |
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Telephone | 435-336-3254
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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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