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General NPI Number Information
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NPI Number | 1225096944
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Entity Type | Organization
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Legal Business Name | GRANITE COUNTY
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 202 EAST FRONT STREET
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City | DRUMMOND
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State | MT
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Zip | 59832
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Country | US
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Telephone | 406-288-3191
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Fax | 406-542-2785
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Provider Business Mailing Address
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Address Line | 202 EAST FRONT STREET, P.O. BOX 389
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City | DRUMMOND
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State | MT
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Zip | 59832
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Country | US
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Telephone | 406-288-3191
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Fax | 406-542-2785
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Authorized Official
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Title or Position | PRESIDENT DRUMMOND AMBULANCE ASSOC
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Name | MR. FRANK PRINCE
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Credential | E.M.T.
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Telephone | 406-288-3191
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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 | 084
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License Number State | MT
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