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General NPI Number Information
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NPI Number | 1861262933
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Entity Type | Organization
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Legal Business Name | SOUTH SUMMIT FIRE PROTECTION DISTRICT
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 102 THORN CREEK DR
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City | KAMAS
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State | UT
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Zip | 84036-1370
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Country | US
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Telephone | 435-783-2375
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27768
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0768
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Country | US
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Telephone | 801-975-4385
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Fax | 801-975-4323
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Authorized Official
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Title or Position | SECRETARY
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Name | MELANIE MITCHELL
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Credential |
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Telephone | 435-659-8553
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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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