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NPI 1528170602

NPI 1528170602 : NOVATO FIRE PROTECTION DISTRICT : NOVATO, CA

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General NPI Number Information
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    NPI Number           |    1528170602
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOVATO FIRE PROTECTION DISTRICT 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    7025 REDWOOD BLVD 
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    City                 |    NOVATO
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    State                |    CA
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    Zip                  |    94945-4101
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    Country              |    US
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    Telephone            |    415-878-2690
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    Fax                  |    415-878-2660
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Provider Business Mailing Address
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    Address Line         |    95 ROWLAND WAY 
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    City                 |    NOVATO
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    State                |    CA
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    Zip                  |    94945-5001
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    Country              |    US
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    Telephone            |    415-878-2690
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    Fax                  |    415-878-2660
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |     MARC A REVERE 
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    Credential           |    
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    Telephone            |    415-878-2690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    
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    License Number State |    
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