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General NPI Number Information
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NPI Number | 1750614509
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Entity Type | Organization
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Legal Business Name | SNOQUALMIE PASS FIRE DEPT OF KING AND KITTITAS COUNTIES
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 1211 STATE ROUTE 906
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City | SNOQUALMIE PASS
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State | WA
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Zip | 98068
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Country | US
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Telephone | 425-434-6333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3510
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City | SILVERDALE
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State | WA
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Zip | 98383-3510
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Country | US
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Telephone | 360-394-7030
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Fax | 360-394-7097
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JEREMY J WISEMAN
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Credential |
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Telephone | 425-761-0781
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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 | 17D51
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License Number State | WA
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