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General NPI Number Information
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NPI Number | 1124002936
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Entity Type | Organization
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Legal Business Name | JEFFERSONVILLE VOLUNTEER FIRST AID CORPS INC
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 49 CALLICOON CENTER RD
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City | JEFFERSONVILLE
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State | NY
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Zip | 12748
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Country | US
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Telephone | 845-482-3110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 845-482-3110
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | RUTH ACKERMANN
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Credential |
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Telephone | 845-482-3110
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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 | 09442
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License Number State | NY
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