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General NPI Number Information
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NPI Number | 1073816344
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Entity Type | Organization
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Legal Business Name | WACHAPREAGUE VOLUNTEER FIRE COMPANY INC
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 1 HIGH STREET
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City | WACHAPREAGUE
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State | VA
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Zip | 23480
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Country | US
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Telephone | 757-787-7818
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Fax | 757-787-1190
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Provider Business Mailing Address
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Address Line | PO BOX 390
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City | WACHAPREAGUE
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State | VA
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Zip | 23480-0390
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Country | US
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Telephone | 757-787-7818
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Fax | 757-787-1190
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | MR. BRIAN LINTON
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Credential |
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Telephone | 757-824-5222
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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 | 355
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License Number State | VA
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