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General NPI Number Information
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NPI Number | 1205334810
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Entity Type | Organization
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Legal Business Name | STEVENS COUNTY FIRE PROTECTION DISTRICT #1
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 4532 RAILROAD AVE
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City | CLAYTON
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State | WA
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Zip | 99110-9790
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Country | US
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Telephone | 509-262-9660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 246
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City | CLAYTON
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State | WA
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Zip | 99110-0246
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Country | US
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Telephone | 509-262-9660
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MIKE BUCY
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Credential | B.S.
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Telephone | 150-926-2966
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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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