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General NPI Number Information
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NPI Number | 1063563302
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Entity Type | Organization
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Legal Business Name | TOWN OF WEST SPRINGFIELD
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 44 VAN DEENE AVE
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-3214
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Country | US
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Telephone | 413-263-3385
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Fax | 413-736-0087
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Provider Business Mailing Address
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Address Line | 9 MAIN ST SUITE 2K
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City | SUTTON
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State | MA
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Zip | 01590-1660
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Country | US
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Telephone | 508-476-9740
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Fax | 508-476-9748
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Authorized Official
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Title or Position | DEPUTY CHIEF, AMBULANCE ADM
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Name | MR. WILLIAM MICHAEL FLAHERTY
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Credential | EMT
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Telephone | 413-263-3385
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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 | 3343
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License Number State | MA
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