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General NPI Number Information
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NPI Number | 1740245398
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Entity Type | Organization
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Legal Business Name | WISDOM RURAL FIRE DEPARTMENT
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/19/2009
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Provider Practice Location Address
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Address Line | 224 MAIN
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City | WISDOM
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State | MT
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Zip | 59761-0032
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Country | US
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Telephone | 406-689-3240
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | WISDOM
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State | MT
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Zip | 59761-0032
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Country | US
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Telephone | 406-689-3240
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | SHARON STEDE
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Credential |
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Telephone | 406-689-3225
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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 | 098
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License Number State | MT
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