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General NPI Number Information
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NPI Number | 1689724304
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Entity Type | Organization
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Legal Business Name | MEEKS BAY
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8041 EMERALD BAY ROAD
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City | TAHOMA
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State | CA
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Zip | 96142-0137
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Country | US
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Telephone | 530-525-7548
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | TAHOMA
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State | CA
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Zip | 96142-0137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JOHN PANG
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Credential |
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Telephone | 530-525-7548
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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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