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General NPI Number Information
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NPI Number | 1164651782
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Entity Type | Organization
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Legal Business Name | TOWN OF EAST HAVEN
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 200 MAIN ST
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City | EAST HAVEN
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State | CT
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Zip | 06512-3005
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Country | US
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Telephone | 203-468-3840
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Fax | 203-468-3921
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Provider Business Mailing Address
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Address Line | 200 MAIN ST
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City | EAST HAVEN
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State | CT
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Zip | 06512-3005
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Country | US
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Telephone | 203-308-2500
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Fax | 203-516-5517
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | DOUGLAS FRANK JACKSON
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Credential |
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Telephone | 203-468-3221
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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 | C044P1
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License Number State | CT
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