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General NPI Number Information
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NPI Number | 1184754053
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Entity Type | Organization
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Legal Business Name | MAGIC VALLEY PARAMEDICS , LTD.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 285 MARTIN ST
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City | TWIN FALLS
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State | ID
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Zip | 83301-4532
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Country | US
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Telephone | 208-737-2298
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 367
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City | TWIN FALLS
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State | ID
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Zip | 83303-0367
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Country | US
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Telephone | 208-814-7459
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Fax | 208-814-7491
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Authorized Official
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Title or Position | CEO
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Name | JIM ANGLE
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Credential |
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Telephone | 208-737-2101
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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 | ID
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