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NPI 1164664447

NPI 1164664447 : PIERCE COUNTY FIRE DISTRICT 8 : EDGEWOOD, WA

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General NPI Number Information
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    NPI Number           |    1164664447
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    Entity Type          |    Organization 
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    Legal Business Name  |    PIERCE COUNTY FIRE DISTRICT 8 
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Dates
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    Enumeration Date     |    04/01/2009
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    Last Update Date     |    04/01/2009
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Provider Practice Location Address
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    Address Line         |    10105 24TH ST E 
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    City                 |    EDGEWOOD
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    State                |    WA
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    Zip                  |    98371-2132
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    Country              |    US
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    Telephone            |    253-927-2313
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3510 
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    City                 |    SILVERDALE
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    State                |    WA
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    Zip                  |    98383-3510
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    Country              |    US
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    Telephone            |    360-613-1627
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NEW CLIENT COORDINATOR
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    Name                 |     JULS A OBERMILLER 
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    Credential           |    
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    Telephone            |    360-613-1627
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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       |    27D08
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    License Number State |    WA
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