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General NPI Number Information
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NPI Number | 1104817931
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Entity Type | Organization
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Legal Business Name | TOWN OF GOSHEN FIRE DEPARTMENT AMBULANCE
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 56 MAIN ST
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City | GOSHEN
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State | MA
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Zip | 01032-9610
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Country | US
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Telephone | 413-268-7161
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Fax |
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Provider Business Mailing Address
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Address Line | 8 TURCOTTE DR MEMORIAL DRIVE
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City | ROWLEY
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State | MA
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Zip | 01969-1706
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | FRANCIS DRESSER
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Credential |
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Telephone | 413-268-7161
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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 | 3379
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License Number State | MA
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