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General NPI Number Information
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NPI Number | 1699844316
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Entity Type | Organization
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Legal Business Name | TREASURE VALLEY PARAMEDICS
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 1147 SW 4TH AVENUE
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City | ONTARIO
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State | OR
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Zip | 97914
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Country | US
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Telephone | 541-881-9930
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Fax | 541-823-8003
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Provider Business Mailing Address
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Address Line | 1147 SW 4TH AVENUE
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City | ONTARIO
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State | OR
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Zip | 97914
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Country | US
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Telephone | 541-823-8000
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Fax | 541-832-8002
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Authorized Official
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Title or Position | CHAIRMAN OF BOARD OF DIRECTORS
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Name | ALAN S. PATTERSON
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Credential |
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Telephone | 541-823-8000
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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 | 2306
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License Number State | OR
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