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General NPI Number Information
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NPI Number | 1376598755
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Entity Type | Organization
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Legal Business Name | TRI-VALLEY VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 12/30/2022
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Provider Practice Location Address
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Address Line | 5 HEALY SPUR ROAD
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City | HEALY
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State | AK
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Zip | 99743-0146
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Country | US
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Telephone | 907-683-2223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 146
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City | HEALY
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State | AK
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Zip | 99743-0146
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Country | US
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Telephone | 907-683-2223
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Fax | 907-683-1351
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MEGAN SCOLES
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Credential |
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Telephone | 907-683-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 25367
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License Number State | AK
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