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General NPI Number Information
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NPI Number | 1144718248
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Entity Type | Organization
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Legal Business Name | NENANA VOLUNTEER FIRE EMS DEPARTMENT
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 602 MARKET STREET
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City | NENANA
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State | AK
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Zip | 99760
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Country | US
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Telephone | 907-832-5600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | NENANA
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State | AK
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Zip | 99760-0088
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Country | US
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Telephone | 907-832-5600
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Fax | 907-832-5606
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Authorized Official
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Title or Position | LIEUTENANT/ ADMIN
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Name | LARENDA FORNESS
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Credential |
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Telephone | 907-832-5600
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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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