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General NPI Number Information
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NPI Number | 1598385783
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Entity Type | Organization
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Legal Business Name | CITY OF GOODYEAR
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 14455 W VAN BUREN ST # E102
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City | GOODYEAR
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State | AZ
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Zip | 85338-9209
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Country | US
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Telephone | 623-688-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N CIVIC SQ
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City | GOODYEAR
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State | AZ
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Zip | 85395-2012
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Country | US
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Telephone | 623-932-2300
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Fax |
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Authorized Official
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Title or Position | BATTALION CHIEF
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Name | ERIC KLEINSCHMIDT
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Credential |
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Telephone | 623-688-4877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State |
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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 |
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