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General NPI Number Information
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NPI Number | 1871748681
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Entity Type | Organization
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Legal Business Name | CLOQUET AREA FIRE DISTRICT
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 508 CLOQUET AVE
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City | CLOQUET
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State | MN
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Zip | 55720-3742
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Country | US
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Telephone | 218-879-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 CLOQUET AVE
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City | CLOQUET
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State | MN
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Zip | 55720-1656
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Country | US
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Telephone | 218-879-3347
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Fax | 218-879-6555
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JESSE BUHS
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Credential |
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Telephone | 218-499-4258
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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 | 0053
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License Number State | MN
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