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General NPI Number Information
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NPI Number | 1699562058
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Entity Type | Organization
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Legal Business Name | LANE FIRE AUTHORITY
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 88050 TERRITORIAL RD
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City | VENETA
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State | OR
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Zip | 97487-9723
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Country | US
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Telephone | 541-935-2226
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Fax | 541-935-2390
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Provider Business Mailing Address
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Address Line | 88050 TERRITORIAL RD
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City | VENETA
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State | OR
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Zip | 97487-9723
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Country | US
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Telephone | 541-935-2226
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Fax | 541-935-2390
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | HARRY DALE BORLAND
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Credential |
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Telephone | 541-935-2226
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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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