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General NPI Number Information
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NPI Number | 1417198326
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Entity Type | Organization
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Legal Business Name | CITY OF SOUTH SALT LAKE
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 2600 S MAIN ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84115-3023
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Country | US
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Telephone | 801-483-6043
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 S MAIN ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84115-3023
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Country | US
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Telephone | 801-483-6043
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. STEVEN F FOOTE
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Credential |
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Telephone | 801-483-6043
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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 |
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License Number State | UT
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