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General NPI Number Information
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NPI Number | 1891799342
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Entity Type | Organization
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Legal Business Name | COUNTY OF EUREKA
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 301 N MAIN STREET
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City | EUREKA
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State | NV
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Zip | 89316-1507
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Country | US
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Telephone | 775-237-7036
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Fax | 775-237-7037
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Provider Business Mailing Address
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Address Line | PO BOX 407
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City | EUREKA
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State | NV
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Zip | 89316-0407
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Country | US
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Telephone | 800-811-4045
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Fax | 775-237-5614
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Authorized Official
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Title or Position | DIRECTOR/COORDINATOR
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Name | KENNY SANDERS
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Credential |
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Telephone | 775-237-5306
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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 | 07325
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 07131
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License Number State | NV
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