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General NPI Number Information
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NPI Number | 1154795086
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Entity Type | Organization
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Legal Business Name | RIO VERDE FIRE DISTRICT
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 25608 N FOREST RD
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City | RIO VERDE
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State | AZ
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Zip | 85263-8136
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Country | US
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Telephone | 480-471-2304
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Fax | 480-471-1821
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Provider Business Mailing Address
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Address Line | 25608 N FOREST RD
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City | RIO VERDE
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State | AZ
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Zip | 85263-8136
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Country | US
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Telephone | 480-471-2304
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Fax | 480-471-1821
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | GARY BRADBURY
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Credential |
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Telephone | 480-471-2304
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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 | 143
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License Number State | AZ
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