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NPI 1124582622

NPI 1124582622 : LAWRENCE CEDARHURST RESCUE INC : LAWRENCE, NY

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General NPI Number Information
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    NPI Number           |    1124582622
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAWRENCE CEDARHURST RESCUE INC 
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Dates
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    Enumeration Date     |    01/29/2019
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    Last Update Date     |    05/08/2025
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Provider Practice Location Address
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    Address Line         |    71 WASHINGTON AVE 
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    City                 |    LAWRENCE
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    State                |    NY
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    Zip                  |    11559-1836
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    Country              |    US
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    Telephone            |    516-569-0042
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    71 WASHINGTON AVE 
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    City                 |    LAWRENCE
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    State                |    NY
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    Zip                  |    11559-1836
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    Country              |    US
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    Telephone            |    516-569-0042
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE CHAIRMAN
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    Name                 |     THOMAS JOHN FOY 
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    Credential           |    
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    Telephone            |    516-205-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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