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General NPI Number Information
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NPI Number | 1285636464
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Entity Type | Organization
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Legal Business Name | MARION COUNTY FIRE DISTRICT NO 1
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 300 CORDON RD NE
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City | SALEM
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State | OR
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Zip | 97317-5203
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Country | US
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Telephone | 503-588-6526
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Fax | 503-588-6537
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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 | DEPUTY FIRE CHIEF
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Name | KYLE MCMANN
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Credential |
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Telephone | 503-588-6535
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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 | 2410
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License Number State | OR
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