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General NPI Number Information
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NPI Number | 1972879716
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Entity Type | Organization
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Legal Business Name | ARIVACA FIRE DISTRICT
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 16091 WEST UNIVERSAL RANCH ROAD
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City | ARIVACA
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State | AZ
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Zip | 85601-0416
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Country | US
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Telephone | 520-398-2003
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Fax | 520-398-2607
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Provider Business Mailing Address
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Address Line | PO BOX 416
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City | ARIVACA
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State | AZ
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Zip | 85601-0416
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Country | US
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Telephone | 520-398-2003
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Fax | 520-398-2607
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. SCOTT VAN BOERUM
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Credential |
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Telephone | 520-398-2003
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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 | G066GD
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License Number State | AZ
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