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General NPI Number Information
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NPI Number | 1386610798
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Entity Type | Organization
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Legal Business Name | WAHKIAKUM COUNTY FIRE PROTECTION DISTRICT NO 3
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 8 HULL CREEK RD
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City | GRAYS RIVER
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State | WA
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Zip | 98621-9717
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Country | US
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Telephone | 360-465-2636
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Fax |
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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 | 360-394-7030
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Fax | 360-394-7097
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | ROB MAKI
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Credential |
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Telephone | 360-465-2635
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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 | 35D03
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License Number State | WA
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