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General NPI Number Information
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NPI Number | 1114672078
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Entity Type | Organization
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Legal Business Name | CLUSTER SPRINGS VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 1009 BLACK WALNUT CHURCH ROAD
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City | ALTON
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State | VA
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Zip | 24520-3100
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Country | US
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Telephone | 434-575-7094
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 110
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City | CLUSTER SPRINGS
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State | VA
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Zip | 24535-0071
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Country | US
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Telephone | 434-575-7094
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MR. CHRISTOPHER SCOTT HUDSON
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Credential | EMT
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Telephone | 434-579-5338
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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 |
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License Number State |
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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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