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General NPI Number Information
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NPI Number | 1700059607
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Entity Type | Organization
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Legal Business Name | BRISTOL FIRE & RESCUE
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 8312 198TH AVENUE
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City | BRISTOL
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State | WI
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Zip | 53104-0187
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Country | US
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Telephone | 262-857-2711
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Fax | 262-857-2136
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Provider Business Mailing Address
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Address Line | PO BOX 187 8312 198TH AVENUE
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City | BRISTOL
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State | WI
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Zip | 53104-0187
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Country | US
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Telephone | 262-857-2711
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Fax | 262-857-2136
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | PETER JAMES PARKER
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Credential |
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Telephone | 262-857-2711
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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 | 6000385
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License Number State | WI
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