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General NPI Number Information
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NPI Number | 1225631674
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNTY FIRE PROTECTION
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 138 MAIN STREEET
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City | MANSFIELD
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State | WA
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Zip | 98830-0326
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Country | US
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Telephone | 509-683-1114
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Fax | 509-683-1114
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | MANSFIELD
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State | WA
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Zip | 98830-0326
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Country | US
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Telephone | 509-683-1114
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Fax | 509-683-1114
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | TYLER I CAILLE
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Credential |
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Telephone | 509-683-1114
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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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