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General NPI Number Information
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NPI Number | 1548567027
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Entity Type | Organization
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Legal Business Name | PRICHARD-MURRAY VOLUNTEER FIRE DEPARTMENT INC.
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 21109 COEUR DALENE RIVER RD
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City | WALLACE
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State | ID
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Zip | 83873-5043
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Country | US
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Telephone | 208-682-3952
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3510
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City | SILVERDALE
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State | WA
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Zip | 98383-3510
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Country | US
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Telephone | 360-394-7020
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Fax | 360-394-7099
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Authorized Official
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Title or Position | TREASURER
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Name | DONALD J CAVANAUGH
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Credential |
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Telephone | 208-660-7232
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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 |
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License Number State |
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