{
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"OrgName": "ARIVACA FIRE DISTRICT",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 416",
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"MailingAddressCityName": "ARIVACA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85601-0416",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "520-398-2003",
"MailingAddressFaxNumber": "520-398-2607",
"FirstLinePracticeLocationAddress": "16091 WEST UNIVERSAL RANCH ROAD",
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"PracticeLocationAddressCityName": "ARIVACA",
"PracticeLocationAddressStateName": "AZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-398-2003",
"PracticeLocationAddressFaxNumber": "520-398-2607",
"EnumerationDate": "03/27/2012",
"LastUpdateDate": "11/03/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAN BOERUM",
"AuthorizedOfficialFirstName": "SCOTT",
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"AuthorizedOfficialTitle": "FIRE CHIEF",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "520-398-2003",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "G066GD",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}