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General NPI Number Information
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NPI Number | 1093909699
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Entity Type | Organization
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Legal Business Name | TOWN OF WARREN
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 167 WESTERN RD
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City | WARREN
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State | ME
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Zip | 04864-4279
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Country | US
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Telephone | 207-354-2278
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Fax | 207-273-3373
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Provider Business Mailing Address
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Address Line | 167 WESTERN RD
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City | WARREN
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State | ME
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Zip | 04864-4279
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Country | US
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Telephone | 207-354-2278
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Fax | 207-273-3373
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Authorized Official
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Title or Position | AMBULANCE DIRECTOR
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Name | MS. POLLY WOOD
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Credential |
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Telephone | 207-354-2278
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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 | 733
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License Number State | ME
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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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