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General NPI Number Information
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NPI Number | 1528112331
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Entity Type | Organization
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Legal Business Name | PENINSULA FIRE DISTRICT
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 801 GOLF CLUB RD
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City | LAKE ALMANOR
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State | CA
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Zip | 96137
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Country | US
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Telephone | 530-259-2306
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Fax | 530-259-3707
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Provider Business Mailing Address
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Address Line | 801 GOLF CLUB RD
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City | LAKE ALMANOR
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State | CA
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Zip | 96137-9524
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Country | US
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Telephone | 530-259-2306
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Fax | 530-259-3707
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Authorized Official
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Title or Position | ADMINISTRATIVE SECRETARY
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Name | MS. HOLLY C COONS
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Credential |
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Telephone | 530-259-2306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416S0300X
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Taxonomy Name | Water Ambulance
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License Number |
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License Number State | CA
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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 | CA
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