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General NPI Number Information
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NPI Number | 1578787685
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Entity Type | Organization
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Legal Business Name | CASCADE AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 1482 SLATER RD STE A
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City | FERNDALE
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State | WA
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Zip | 98248-8919
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Country | US
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Telephone | 360-380-3144
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Fax | 360-380-2117
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Provider Business Mailing Address
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Address Line | 1482 SLATER RD STE A
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City | FERNDALE
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State | WA
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Zip | 98248-8919
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Country | US
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Telephone | 360-380-3144
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Fax | 360-380-2117
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES D FUITEN
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Credential | PRESIDENT
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Telephone | 503-648-6656
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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 | 3416L0300X
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License Number State | WA
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