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General NPI Number Information
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NPI Number | 1740256015
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Entity Type | Organization
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Legal Business Name | PIERCE COUNTY FIRE DISTRICT 5
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 10222 BUJACICH RD NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8595
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Country | US
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Telephone | 253-851-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 10222 BUJACICH RD NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8595
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Country | US
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Telephone | 253-851-3111
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Fax | 253-851-9606
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Authorized Official
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Title or Position | EMS DIVISION CHIEF
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Name | MICHAEL DUMAS
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Credential | EMS DIVISION CHIEF
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Telephone | 253-851-3111
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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 | 27D05
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License Number State | WA
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