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General NPI Number Information
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NPI Number | 1003913443
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Entity Type | Organization
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Legal Business Name | VALLEY GROVE VOLUNTEER FIRE DEPT
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 355 FIRE HOUSE LN
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City | VALLEY GROVE
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State | WV
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Zip | 26060
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Country | US
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Telephone | 304-547-0347
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Fax | 304-547-1085
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Provider Business Mailing Address
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Address Line | 836 4TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1407
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Country | US
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Telephone | 304-521-1576
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Fax | 304-521-1576
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | ALBERT BOND
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Credential | RN, EMT-P
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Telephone | 304-547-0347
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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 | 027014
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License Number State | WV
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