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General NPI Number Information
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NPI Number | 1134161870
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Entity Type | Organization
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Legal Business Name | CONGERS VALLEY COTTAGE VOLUNTEER AMBULANCE CORPS INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 122 KINGS HWY
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City | CONGERS
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State | NY
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Zip | 10920-2238
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Country | US
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Telephone | 845-268-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 122 KINGS HWY
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City | CONGERS
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State | NY
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Zip | 10920-2238
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Country | US
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Telephone | 845-268-7333
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Fax | 845-268-5919
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MR. ARTHUR PANOV
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Credential |
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Telephone | 512-698-4873
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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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