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General NPI Number Information
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NPI Number | 1750811063
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Entity Type | Organization
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Legal Business Name | CITY OF TEMPE
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 1400 E APACHE BLVD
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City | TEMPE
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State | AZ
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Zip | 85281-5921
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Country | US
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Telephone | 480-858-7208
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5002
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City | TEMPE
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State | AZ
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Zip | 85280-5002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | PAUL NIES
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Credential |
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Telephone | 480-858-7258
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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 | 148
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License Number State | AZ
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