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General NPI Number Information
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NPI Number | 1205301074
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Entity Type | Organization
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Legal Business Name | MASON COUNTY FIRE PROTECTION DISTRICT NO 16
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 4650 W DAYTON AIRPORT RD
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City | SHELTON
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State | WA
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Zip | 98584-8093
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Country | US
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Telephone | 360-426-7343
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2436
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City | SHELTON
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State | WA
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Zip | 98584-5065
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Country | US
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Telephone | 360-426-7343
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Fax | 360-426-2299
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MATTHEW WELANDER WELANDER
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Credential |
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Telephone | 360-426-7343
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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 |
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License Number State |
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