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General NPI Number Information
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NPI Number | 1912123829
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Entity Type | Organization
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Legal Business Name | CADDO PARISH FIRE DISTRICT NO. 4
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8240 COLQUITT RD
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City | KEITHVILLE
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State | LA
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Zip | 71047-7009
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Country | US
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Telephone | 318-925-2200
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Fax | 318-925-8790
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Provider Business Mailing Address
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Address Line | 8240 COLQUITT RD
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City | KEITHVILLE
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State | LA
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Zip | 71047-7009
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Country | US
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Telephone | 318-925-2200
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Fax | 318-925-8790
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. MARY E DOWDEN
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Credential |
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Telephone | 888-357-9977
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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 | 9110089
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License Number State | LA
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