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General NPI Number Information
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NPI Number | 1144828757
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Entity Type | Organization
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Legal Business Name | BANKS DISTRICT VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 260 ROCK CAVE RD
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City | ROCK CAVE
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State | WV
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Zip | 26234
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Country | US
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Telephone | 304-924-6864
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | BUCKHANNON
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State | WV
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Zip | 26201
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Country | US
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Telephone | 304-473-8988
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Fax | 304-206-3141
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JONATHAN W ROBY
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Credential |
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Telephone | 304-997-5027
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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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