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General NPI Number Information
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NPI Number | 1033183710
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Entity Type | Organization
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Legal Business Name | FAIRVIEW VOLUNTEER FIRE COMPANY
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 409 MAIN STREET
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City | FAIRVIEW
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State | WV
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Zip | 26570
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Country | US
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Telephone | 304-449-1904
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Fax |
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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 |
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | JESSE TOOTHMAN
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Credential |
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Telephone | 304-365-1917
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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 | WVEMS
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License Number State | WV
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