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General NPI Number Information
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NPI Number | 1093110421
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Entity Type | Organization
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Legal Business Name | LAKES REGION EMS, LLC
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 81 MEMORIAL ST
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City | FRANKLIN
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State | NH
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Zip | 03235-1615
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Country | US
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Telephone | 603-934-2147
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 485
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City | NEW HAMPTON
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State | NH
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Zip | 03256-0485
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Country | US
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Telephone | 603-934-2147
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. STEVE MARSH
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Credential |
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Telephone | 603-707-7549
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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 |
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License Number State |
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