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General NPI Number Information
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NPI Number | 1619506045
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Entity Type | Organization
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Legal Business Name | CITY OF BRAWLEY
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 1505 JONES ST
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City | BRAWLEY
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State | CA
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Zip | 92227-1700
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Country | US
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Telephone | 760-351-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 400 MAIN ST
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City | BRAWLEY
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State | CA
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Zip | 92227-2434
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Country | US
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Telephone | 760-344-8941
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Fax |
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. TYLER RICHARD SALCIDO
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Credential |
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Telephone | 760-344-8941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number |
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License Number State |
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