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General NPI Number Information
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NPI Number | 1104978535
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE VOLUNTEER FIRE DEPT INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 190 N COMMERCIAL
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City | CAMBRIDGE
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State | ID
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Zip | 83610
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Country | US
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Telephone | 208-257-3763
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Fax | 208-257-3763
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | CAMBRIDGE
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State | ID
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Zip | 83610-0187
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Country | US
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Telephone | 208-257-3763
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Fax | 208-257-3763
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Authorized Official
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Title or Position | AMBULANCE COORDINATOR
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Name | KRISTEN DAWN JAEGER
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Credential |
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Telephone | 208-566-3244
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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 | 4311
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License Number State | ID
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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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