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General NPI Number Information
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NPI Number | 1902854516
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Entity Type | Organization
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Legal Business Name | COUNTY OF MINERAL
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 418 MINERAL WAY
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City | HAWTHORNE
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State | NV
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Zip | 89415
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Country | US
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Telephone | 775-353-0769
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Fax | 775-353-0869
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Provider Business Mailing Address
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Address Line | PO BOX 1095
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City | HAWTHORNE
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State | NV
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Zip | 89415-1095
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Country | US
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Telephone | 775-353-0769
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Fax | 775-353-0869
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | CHRIS LAWRENCE
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Credential |
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Telephone | 775-945-2497
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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 | 12122
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License Number State | NV
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