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General NPI Number Information
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NPI Number | 1407811318
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Entity Type | Organization
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Legal Business Name | TUBAC FIRE DISTRICT
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 2227 E. FRONTAGE RD.
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City | TUBAC
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State | AZ
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Zip | 85646
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Country | US
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Telephone | 520-398-2255
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Fax | 520-398-2933
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Provider Business Mailing Address
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Address Line | PO BOX 2881
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City | TUBAC
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State | AZ
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Zip | 85646-2881
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Country | US
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Telephone | 520-398-2255
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Fax | 520-398-2933
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. BRENDA HOLBROOK
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Credential |
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Telephone | 520-398-2255
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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 | CON #6
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License Number State | AZ
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