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General NPI Number Information
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NPI Number | 1912907528
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Entity Type | Organization
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Legal Business Name | MASON VALLEY FIRE AND AMBULANCE
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 118 S MAIN ST
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City | YERINGTON
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State | NV
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Zip | 89447-2584
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Country | US
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Telephone | 775-463-2261
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Fax | 775-463-6537
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Provider Business Mailing Address
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Address Line | 118 S MAIN ST
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City | YERINGTON
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State | NV
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Zip | 89447-2584
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Country | US
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Telephone | 775-463-2261
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Fax | 775-463-6537
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Authorized Official
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Title or Position | DISTRICT CHIEF
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Name | STEVE TOGNOLI
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Credential |
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Telephone | 775-463-2261
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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 | 11103
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License Number State | NV
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