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General NPI Number Information
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NPI Number | 1013217116
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Entity Type | Organization
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Legal Business Name | ISLANDS COMMUNITY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 15 MEDICAL CENTER LOOP
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City | VINALHAVEN
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State | ME
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Zip | 04863-0812
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Country | US
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Telephone | 800-964-9200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 812 15 MEDICAL CENTER LOOP
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City | VINALHAVEN
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State | ME
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Zip | 04863-0812
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Country | US
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Telephone | 207-863-2042
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Fax | 207-863-4393
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Authorized Official
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Title or Position | TOWN MANAGER
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Name | MARJORIE E. STRATTON
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Credential |
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Telephone | 207-863-2042
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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 | 0367
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License Number State | ME
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