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General NPI Number Information
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NPI Number | 1699828855
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Entity Type | Organization
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Legal Business Name | CITY OF CLINTON
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 2267 N 1500 W
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City | CLINTON
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State | UT
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Zip | 84015-8309
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Country | US
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Telephone | 801-614-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27671
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0671
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Country | US
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Telephone | 801-295-9880
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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 | DAVID OLSEN
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Credential |
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Telephone | 801-614-0700
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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 | 0612L
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License Number State | UT
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