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General NPI Number Information
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NPI Number | 1295516219
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Entity Type | Organization
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Legal Business Name | NORTH SUMMIT FIRE SERVICE DISTRICT
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 310 S HENEFER ROAD
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City | HENEFER
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State | UT
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Zip | 84033
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Country | US
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Telephone | 435-336-2221
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | COALVILLE
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State | UT
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Zip | 84017-0187
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Country | US
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Telephone | 435-336-2221
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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 | BENJAMIN L NIELSON
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Credential |
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Telephone | 435-336-2221
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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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