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General NPI Number Information
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NPI Number | 1881633543
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Entity Type | Organization
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Legal Business Name | BIG MOUNTAIN FIRE DISTRICT
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 03/19/2010
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Provider Practice Location Address
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Address Line | 3790 BIG MOUNTAIN RD.
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City | WHITEFISH
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State | MT
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Zip | 59937
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Country | US
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Telephone | 406-862-3748
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Fax | 406-862-8554
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Provider Business Mailing Address
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Address Line | PO BOX 7374
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City | KALISPELL
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State | MT
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Zip | 59904-7374
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Country | US
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Telephone | 406-253-7240
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | JOHN R UNGARETTI
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Credential | CCEMTP
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Telephone | 406-862-3748
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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 | 154
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License Number State | MT
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