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General NPI Number Information
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NPI Number | 1003804477
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Entity Type | Organization
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Legal Business Name | BAYSIDE COMMUNITY AMBULANCE CORPS INC
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 04/15/2023
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Provider Practice Location Address
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Address Line | 21429 42ND AVE
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City | BAYSIDE
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State | NY
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Zip | 11361-2917
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Country | US
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Telephone | 718-631-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 610606
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City | BAYSIDE
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State | NY
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Zip | 11361-0606
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Country | US
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Telephone | 718-631-3333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER CAPO
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Credential |
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Telephone | 718-631-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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