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General NPI Number Information
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NPI Number | 1619149754
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Entity Type | Organization
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Legal Business Name | CITY OF SAN DIEGO FIRE-RESCUE DEPARTMENT
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 1010 2ND AVE STE 400 ATTN: AIR OPERATIONS CHIEF
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City | SAN DIEGO
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State | CA
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Zip | 92101-4970
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Country | US
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Telephone | 619-533-4353
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 2ND AVE STE 400 ATTN: AIR OPERATIONS CHIEF
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City | SAN DIEGO
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State | CA
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Zip | 92101-4970
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Country | US
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Telephone | 619-533-4353
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Fax |
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Authorized Official
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Title or Position | DEPUTY FIRE CHIEF, SPECIAL OPS
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Name | MR. BRIAN P. FENNESSY
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Credential |
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Telephone | 619-533-4407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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