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General NPI Number Information
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NPI Number | 1366961500
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Entity Type | Organization
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Legal Business Name | CITY OF VALLEJO
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 970 NIMITZ AVE
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City | VALLEJO
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State | CA
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Zip | 94592-1040
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Country | US
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Telephone | 707-648-4092
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Fax |
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Provider Business Mailing Address
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Address Line | 970 NIMITZ AVE
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City | VALLEJO
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State | CA
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Zip | 94592-1040
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Country | US
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Telephone | 707-648-4092
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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 | MR. JACK MCARTHUR
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Credential |
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Telephone | 707-648-4092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State | CA
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