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General NPI Number Information
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NPI Number | 1396079323
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Entity Type | Organization
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Legal Business Name | DESERT HILLS FIRE DISTRICT
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 3983 LONDON BRIDGE RD
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404
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Country | US
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Telephone | 928-764-3333
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Fax | 928-764-2397
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Provider Business Mailing Address
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Address Line | 3983 LONDON BRIDGE RD.
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404
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Country | US
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Telephone | 928-764-3333
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Fax | 928-764-2397
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MATTHEW ESPINOZA
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Credential |
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Telephone | 928-764-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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License Number State | AZ
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Taxonomy #2
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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 | AZ
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Taxonomy #3
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Taxonomy Code | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number |
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License Number State | AZ
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