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General NPI Number Information
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NPI Number | 1467402297
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Entity Type | Organization
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Legal Business Name | SWEET HOME FIRE & AMBULANCE DISTRICT
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 1099 LONG ST
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City | SWEET HOME
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State | OR
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Zip | 97386-2118
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Country | US
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Telephone | 541-367-5882
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Fax | 541-367-7265
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Provider Business Mailing Address
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Address Line | 1099 LONG ST
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City | SWEET HOME
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State | OR
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Zip | 97386-2118
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Country | US
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Telephone | 541-367-5882
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Fax | 541-367-7265
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | DAVID J BARRINGER
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Credential |
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Telephone | 541-367-5882
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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 | 2205-06
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License Number State | OR
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