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General NPI Number Information
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NPI Number | 1235132689
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Entity Type | Organization
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Legal Business Name | CITY OF DALLAS
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 187 SE COURT ST
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City | DALLAS
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State | OR
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Zip | 97338-3117
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Country | US
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Telephone | 503-831-3533
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Fax | 503-623-7352
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Provider Business Mailing Address
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Address Line | PO BOX 3510
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City | SILVERDALE
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State | WA
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Zip | 98383-3510
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Country | US
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Telephone | 360-394-7010
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Fax | 360-394-7099
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. TODD BRUMFIELD
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Credential |
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Telephone | 503-831-3537
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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 | 2701-05
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License Number State | OR
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