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General NPI Number Information
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NPI Number | 1932151321
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Entity Type | Organization
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Legal Business Name | BONNER COUNTY EMS
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 521 S DIVISION AVE STE 131
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City | SANDPOINT
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State | ID
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Zip | 83864-2092
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Country | US
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Telephone | 208-255-2194
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Fax | 208-263-0349
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Provider Business Mailing Address
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Address Line | 521 S DIVISION AVE STE 131
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City | SANDPOINT
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State | ID
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Zip | 83864-2092
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Country | US
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Telephone | 208-255-2194
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Fax | 208-263-0349
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | SARAH NIXON
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Credential |
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Telephone | 208-255-2194
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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 | 8142
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License Number State | ID
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