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General NPI Number Information
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NPI Number | 1780364836
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Entity Type | Organization
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Legal Business Name | CITY OF SPARKS
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1605 VICTORIAN AVE
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City | SPARKS
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State | NV
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Zip | 89431-4895
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Country | US
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Telephone | 775-353-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 431 PRATER WAY
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City | SPARKS
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State | NV
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Zip | 89431-4598
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Country | US
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Telephone | 775-353-2255
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Fax |
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Authorized Official
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Title or Position | DIVISION CHIEF EMS
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Name | JEFFREY BRIAN SULLIVAN
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Credential |
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Telephone | 775-843-6099
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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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