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General NPI Number Information
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NPI Number | 1881132678
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Entity Type | Organization
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Legal Business Name | CITY OF INDIAN WELLS
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 44950 ELDORADO DR
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City | INDIAN WELLS
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State | CA
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Zip | 92210-7414
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Country | US
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Telephone | 760-346-2489
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Fax | 760-346-0407
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Provider Business Mailing Address
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Address Line | PO BOX 1380
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City | SUISUN CITY
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State | CA
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Zip | 94585-4380
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Country | US
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Telephone | 760-346-2489
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Fax | 760-346-0407
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. KEVIN J MCCARTHY
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Credential |
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Telephone | 760-346-2489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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