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General NPI Number Information
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NPI Number | 1003883802
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Entity Type | Organization
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Legal Business Name | PITTSFORD VOLUNTEER AMBULANCE INC
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 40 TOBEY RD
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City | PITTSFORD
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State | NY
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Zip | 14534-1893
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Country | US
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Telephone | 585-385-2401
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Fax | 585-385-5894
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Provider Business Mailing Address
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Address Line | 40 TOBEY RD
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City | PITTSFORD
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State | NY
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Zip | 14534-1893
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Country | US
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Telephone | 585-385-2401
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Fax | 585-385-5894
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Authorized Official
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Title or Position | CHIEF
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Name | MR. JONATHAN DAVID SMITH
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Credential | PARAMEDIC
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Telephone | 585-385-2401
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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 | 32834
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2731
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License Number State | NY
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