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NPI 1104816677

NPI 1104816677 : HAMLET RESCUE & EMERGENCY MEDICAL SERVICES INC : HAMLET, NC

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General NPI Number Information
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    NPI Number           |    1104816677
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAMLET RESCUE & EMERGENCY MEDICAL SERVICES INC 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    04/12/2011
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Provider Practice Location Address
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    Address Line         |    302 CHAMPLAIN ST 
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    City                 |    HAMLET
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    State                |    NC
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    Zip                  |    28345-3380
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    Country              |    US
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    Telephone            |    910-582-2441
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    Fax                  |    910-582-1699
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Provider Business Mailing Address
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    Address Line         |    PO BOX 290184 
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    City                 |    WETHERSFIELD
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    State                |    CT
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    Zip                  |    06129-0184
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    Country              |    US
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    Telephone            |    860-257-9201
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    Fax                  |    860-721-6362
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Authorized Official
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    Title or Position    |    AUTHORIZED AGENT
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    Name                 |    MS. MARY T GENTILE 
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    Credential           |    
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    Telephone            |    860-257-9201
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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       |    1184
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    License Number State |    NC
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