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General NPI Number Information
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NPI Number | 1396721395
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Entity Type | Organization
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Legal Business Name | CITY OF FEDERAL HEIGHTS
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 2400 W 90TH AVE
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City | FEDERAL HEIGHTS
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State | CO
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Zip | 80260-5102
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Country | US
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Telephone | 303-428-3526
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Fax | 303-428-0494
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Provider Business Mailing Address
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Address Line | PO BOX 5223
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City | DENVER
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State | CO
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Zip | 80217-5223
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Country | US
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Telephone | 303-428-3526
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Fax | 303-428-0494
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MARC MAHONEY
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Credential |
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Telephone | 303-412-3560
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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 | EXEMPT
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License Number State | CO
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