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General NPI Number Information
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NPI Number | 1649337643
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Entity Type | Organization
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Legal Business Name | CITY OF MESQUITE
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 10 E MESQUITE BLVD.
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City | MESQUITE
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State | NV
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Zip | 89027-4706
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Country | US
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Telephone | 702-346-2690
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Fax | 702-346-5242
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Provider Business Mailing Address
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Address Line | DEPT. 8815
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City | LOS ANGELES
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State | CA
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Zip | 90084-8815
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Country | US
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Telephone | 213-614-3049
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Fax | 866-575-5490
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Authorized Official
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Title or Position | MANAGER REP.
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Name | MRS. MARSHA V BLACK
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Credential | C.P.C.
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Telephone | 801-295-9811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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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 | 341600000X
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Taxonomy Name | Ambulance
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License Number | #314
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License Number State | NV
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