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General NPI Number Information
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NPI Number | 1528071057
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Entity Type | Organization
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Legal Business Name | ROCKY RIDGE FIRE DISTRICT
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 2911 METROPOLITAN WAY
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2943
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Country | US
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Telephone | 205-822-0532
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Fax | 205-978-9876
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Provider Business Mailing Address
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Address Line | 2911 METROPOLITAN WAY
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2943
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Country | US
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Telephone | 205-822-0532
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Fax | 205-978-9876
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. JON LORD
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Credential | EMT-I
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Telephone | 205-822-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 356
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License Number State | AL
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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 | 356
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License Number State | AL
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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 | 356
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License Number State | AL
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