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General NPI Number Information
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NPI Number | 1760586994
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Entity Type | Organization
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Legal Business Name | CASCADE RURAL FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 109 E PINE
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City | CASCADE
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State | ID
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Zip | 83611
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Country | US
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Telephone | 208-630-3837
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 825
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City | CASCADE
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State | ID
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Zip | 83611-0825
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Country | US
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Telephone | 208-382-3200
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Fax |
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Authorized Official
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Title or Position | BILLLING AGENT
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Name | L KATHLEEN CAMMACK
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Credential |
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Telephone | 208-337-4254
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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 | #7410
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License Number State | ID
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