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General NPI Number Information
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NPI Number | 1073557849
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Entity Type | Organization
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Legal Business Name | CASTLETON VOLUNTEER AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1700 BROOKVIEW ROAD
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City | CASTLETON
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State | NY
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Zip | 12033-9702
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Country | US
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Telephone | 518-732-2563
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 787
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City | LATHAM
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State | NY
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Zip | 12110-0787
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Country | US
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Telephone | 888-603-2455
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Fax | 888-603-2455
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | BETH KNAUF SECOR
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Credential |
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Telephone | 888-603-2455
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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 |
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License Number State |
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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 |
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License Number State |
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