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General NPI Number Information
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NPI Number | 1710793294
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Entity Type | Organization
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Legal Business Name | GRANITE PUBLIC SAFETY CORPORATION
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 234 E. BROADWAY STREET 194
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City | PHILIPSBURG
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State | MT
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Zip | 59858-0181
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Country | US
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Telephone | 833-262-7877
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Fax | 833-226-2235
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Provider Business Mailing Address
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Address Line | 35252 CRYSTAL CREEK CT
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City | GRAFTON
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State | OH
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Zip | 44044-8807
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Country | US
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Telephone | 833-262-7877
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Fax | 833-226-2235
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Authorized Official
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Title or Position | DIRECTOR OF RISK MANAGEMENT AND COO
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Name | MR. DAVID EGING
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Credential |
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Telephone | 833-262-7877
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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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