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General NPI Number Information
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NPI Number | 1508912940
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Entity Type | Organization
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Legal Business Name | TREMONTON CITY
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 102 S TREMONT ST
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City | TREMONTON
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State | UT
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Zip | 84337-1636
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Country | US
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Telephone | 435-257-9502
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Fax | 435-257-9513
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Provider Business Mailing Address
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Address Line | 102 S TREMONT ST
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City | TREMONTON
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State | UT
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Zip | 84337-1636
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Country | US
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Telephone | 435-257-9502
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Fax | 435-257-9513
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Authorized Official
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Title or Position | CITY MANAGER
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Name | SHAWN WARNKE
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Credential |
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Telephone | 435-257-9504
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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 | 0202L
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License Number State | UT
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