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General NPI Number Information
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NPI Number | 1356476477
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Entity Type | Organization
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Legal Business Name | FERRY COUNTY EMERGENCY MEDICAL SERVICES DISTRICT 1
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/04/2024
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Provider Practice Location Address
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Address Line | 499 W 9TH ST
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City | REPUBLIC
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State | WA
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Zip | 99166-8848
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Country | US
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Telephone | 509-775-3631
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Fax | 509-775-3631
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Provider Business Mailing Address
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Address Line | 350 E DELAWARE AVE STOP 17
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City | REPUBLIC
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State | WA
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Zip | 99166-9704
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Country | US
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Telephone | 509-775-3631
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | PHILLIP ALLAN STARR
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Credential | EMT
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Telephone | 509-775-3631
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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 | 10X01
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License Number State | WA
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