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General NPI Number Information
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NPI Number | 1093909681
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Entity Type | Organization
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Legal Business Name | CITY OF SALAMANCA AMBULANCE SERVICE
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 225 WILDWOOD AVE SUITE 2
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City | SALAMANCA
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State | NY
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Zip | 14779-1547
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Country | US
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Telephone | 716-945-3890
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Fax | 716-945-8289
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Provider Business Mailing Address
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Address Line | 225 WILDWOOD AVE SUITE 2
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City | SALAMANCA
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State | NY
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Zip | 14779-1547
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Country | US
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Telephone | 716-945-3890
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Fax | 716-945-8289
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Authorized Official
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Title or Position | ACCOUNT CLERK TYPIST
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Name | MRS. LAURA WINIFRED RILEY
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Credential |
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Telephone | 716-945-3890
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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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