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General NPI Number Information
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NPI Number | 1801910666
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Entity Type | Organization
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Legal Business Name | CADDO PARISH FIRE DISTRICT #3
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 9081 GREENWOOD RD
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City | GREENWOOD
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State | LA
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Zip | 71033
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Country | US
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Telephone | 318-938-5290
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26
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City | GREENWOOD
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State | LA
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Zip | 71033-0026
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Country | US
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Telephone | 888-357-9977
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Fax | 888-747-9963
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Authorized Official
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Title or Position | EMS BILLING SUPERVISOR
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Name | SANDRA LEE NIEMI
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Credential |
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Telephone | 888-357-9977
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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 | 9110010
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License Number State | LA
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