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General NPI Number Information
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NPI Number | 1518042720
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Entity Type | Organization
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Legal Business Name | HERMISTON FIRE & EMERGENCY
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 320 S 1ST ST
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City | HERMISTON
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State | OR
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Zip | 97838-2360
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Country | US
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Telephone | 541-567-8822
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Fax | 541-564-6463
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Provider Business Mailing Address
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Address Line | 320 S 1ST ST
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City | HERMISTON
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State | OR
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Zip | 97838-2360
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Country | US
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Telephone | 541-567-8822
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Fax | 541-564-6463
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MR. STEVE SPIKE
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Credential |
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Telephone | 541-567-8822
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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 | 3003-06
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License Number State | OR
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