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General NPI Number Information
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NPI Number | 1538120688
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Entity Type | Organization
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Legal Business Name | CROOK COUNTY FIRE AND RESCUE
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 500 NE BELKNAP ST
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City | PRINEVILLE
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State | OR
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Zip | 97754-1932
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Country | US
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Telephone | 541-447-5011
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Fax | 541-447-2705
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Provider Business Mailing Address
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Address Line | 500 NE BELKNAP ST
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City | PRINEVILLE
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State | OR
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Zip | 97754-1932
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Country | US
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Telephone | 541-447-5011
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Fax | 541-447-2705
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Authorized Official
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Title or Position | DEPUTY CHEIF
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Name | MR. JIM DEAN
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Credential |
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Telephone | 541-447-5011
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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 | 0701-04
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License Number State | OR
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