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General NPI Number Information
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NPI Number | 1134594161
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Entity Type | Organization
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Legal Business Name | PLEASANTVILLE AMBULANCE CORPS, INC
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/15/2016
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Provider Practice Location Address
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Address Line | 30 GRAMERCY PLACE
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City | THORNWOOD
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State | NY
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Zip | 10594
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Country | US
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Telephone | 914-769-9299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 201
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City | PLEASANTVILLE
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State | NY
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Zip | 10570
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | KELLI WIND
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Credential |
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Telephone | 914-769-9299
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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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