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General NPI Number Information
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NPI Number | 1881697654
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 300 W HOAG ST
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City | YACOLT
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State | WA
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Zip | 98675-5604
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Country | US
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Telephone | 360-686-3271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | YACOLT
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State | WA
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Zip | 98675-0299
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Country | US
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Telephone | 360-686-3271
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Fax | 360-686-8127
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. KIM PITTS
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Credential |
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Telephone | 360-686-3271
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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 | 601009935
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License Number State | WA
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