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General NPI Number Information
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NPI Number | 1104524016
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Entity Type | Organization
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Legal Business Name | WELLS VOLUNTEER AMBULANCE CORPS
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 105 BUTTERMILK HILL RD
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City | WELLS
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State | NY
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Zip | 12190
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Country | US
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Telephone | 518-924-4114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 501
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City | WELLS
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State | NY
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Zip | 12190-0501
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Country | US
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Telephone | 518-573-2706
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Fax |
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Authorized Official
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Title or Position | CAPTAIN/CEO
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Name | AVIS WARNER
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Credential |
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Telephone | 518-924-2108
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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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