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General NPI Number Information
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NPI Number | 1619082211
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Entity Type | Organization
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Legal Business Name | NAVAJO NATION EMS
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | MORGAN BLVD (BEHIND POLICE DEPARTMENT)
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City | WINDOW ROCK
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State | AZ
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Zip | 86515-3360
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Country | US
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Telephone | 928-871-6410
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Fax | 928-871-7789
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Provider Business Mailing Address
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Address Line | PO BOX #3360
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City | WINDOW ROCK
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State | AZ
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Zip | 86515-3360
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Country | US
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Telephone | 928-871-6410
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Fax | 928-871-7789
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Authorized Official
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Title or Position | DEPARTMENT MANAGER III
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Name | MR. HENRY WALLACE
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Credential |
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Telephone | 928-871-6410
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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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