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General NPI Number Information
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NPI Number | 1750978466
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Entity Type | Organization
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Legal Business Name | LOS PINOS FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 275 BROWNING AVENUE
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City | IGNACIO
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State | CO
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Zip | 81137-0319
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Country | US
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Telephone | 970-563-9501
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 319
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City | IGNACIO
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State | CO
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Zip | 81137-0319
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Country | US
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Telephone | 970-563-9501
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF
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Name | GREG CHILDRESS
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Credential |
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Telephone | 970-903-2185
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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