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General NPI Number Information
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NPI Number | 1164149316
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Entity Type | Organization
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Legal Business Name | MACHIAS VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 9548 MAIN ST
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City | MECHIAS
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State | NY
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Zip | 14101
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Country | US
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Telephone | 716-353-4611
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Fax | 716-353-8793
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Provider Business Mailing Address
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Address Line | 9548 MAIN ST /PO BOX 315
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City | MECHIAS
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State | NY
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Zip | 14101
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Country | US
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Telephone | 716-353-4611
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Fax | 716-353-8793
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Authorized Official
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Title or Position | EMT/EMS CAPTAIN
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Name | MR. NATHAN DOUGLAS SCRIVANI
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Credential | EMS CAPTAIN
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Telephone | 716-796-7290
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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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Taxonomy #2
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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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