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General NPI Number Information
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NPI Number | 1841878717
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Entity Type | Organization
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Legal Business Name | CLARK-COWLITZ FIRE RESCUE
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 911 N 65TH AVE
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City | RIDGEFIELD
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State | WA
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Zip | 98642-7725
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Country | US
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Telephone | 360-887-4609
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Fax | 360-887-0862
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Provider Business Mailing Address
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Address Line | 911 N 65TH AVE
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City | RIDGEFIELD
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State | WA
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Zip | 98642-7725
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Country | US
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Telephone | 360-887-4609
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Fax | 360-887-0862
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. JOHN NOHR
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Credential |
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Telephone | 360-887-4609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #5
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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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