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General NPI Number Information
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NPI Number | 1477702579
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Entity Type | Organization
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Legal Business Name | BEULAH FIRE PROTECTION & AMBULANCE DISTRICT
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 8675 CENTRAL AVE
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City | BEULAH
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State | CO
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Zip | 81023-9740
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Country | US
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Telephone | 719-485-2367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 826
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City | BEULAH
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State | CO
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Zip | 81023-0826
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Country | US
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Telephone | 719-485-2367
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Fax | 719-485-2377
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | BRYAN RAYMOND WARE
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Credential | NR EMT-P
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Telephone | 719-485-2367
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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 | EMS-2
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License Number State | CO
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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