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General NPI Number Information
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NPI Number | 1770817553
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Entity Type | Organization
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Legal Business Name | NASELLE VOLUNTEER FIRE DEPARTMENT, INC.
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 5 COUNTY SHED ROAD
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City | NASELLE
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State | WA
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Zip | 98638-0054
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Country | US
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Telephone | 360-484-7187
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Fax | 360-484-7187
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | NASELLE
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State | WA
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Zip | 98638-0054
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Country | US
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Telephone | 360-484-7187
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Fax | 360-484-7187
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Authorized Official
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Title or Position | TREASURER
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Name | MRS. CAROL JOANNE HAVEN
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Credential | 1ST RESPONDER
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Telephone | 360-484-7187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | WA
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