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General NPI Number Information
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NPI Number | 1164556205
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Entity Type | Organization
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Legal Business Name | TOWN OF MAYNARD AMBULANCE SERVICE
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 SUMMER ST.
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City | MAYNARD
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State | MA
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Zip | 01754
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Country | US
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Telephone | 978-897-1014
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Fax | 978-897-3389
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Provider Business Mailing Address
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Address Line | 1 SUMMER ST.
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City | MAYNARD
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State | MA
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Zip | 01754
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Country | US
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Telephone | 978-897-1014
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Fax | 978-897-3389
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Authorized Official
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Title or Position | ADMIN. ASSIST. TO FIRE CHIEF
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Name | MRS. NANCY W. BROOKS
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Credential |
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Telephone | 978-897-1014
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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 | MA
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