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General NPI Number Information
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NPI Number | 1427265560
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Entity Type | Organization
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Legal Business Name | LINCOLN COUNTY FIRE PROTECTION FIRE SERVICE & AMBULANCE SERVICE
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 124 OLD AIRPORT RD
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City | SPRAGUE
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State | WA
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Zip | 99032-4904
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Country | US
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Telephone | 509-257-2926
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Fax | 509-257-2865
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Provider Business Mailing Address
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Address Line | 124 OLD AIRPORT RD
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City | SPRAGUE
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State | WA
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Zip | 99032-4904
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Country | US
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Telephone | 509-257-2926
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Fax | 509-257-2865
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Authorized Official
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Title or Position | DISTRICT SECRETARY
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Name | ARLETTA HOFFMAN
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Credential |
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Telephone | 509-257-2926
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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 | 22D01
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License Number State | WA
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