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General NPI Number Information
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NPI Number | 1497836977
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Entity Type | Organization
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Legal Business Name | EAST FORK FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 1694 COUNTY RD
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City | MINDEN
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State | NV
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Zip | 89423-4405
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Country | US
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Telephone | 775-782-9044
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Fax | 775-782-9043
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Provider Business Mailing Address
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Address Line | 1694 COUNTY RD
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City | MINDEN
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State | NV
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Zip | 89423-4405
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Country | US
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Telephone | 775-782-9044
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Fax | 775-782-9043
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Authorized Official
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Title or Position | DEPUTY FIRE CHIEF
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Name | MR. DAVID FOGERSON
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Credential |
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Telephone | 775-782-9096
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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 | 04-130 & 04-412
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License Number State | NV
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