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NPI 1164996179

NPI 1164996179 : TOWN OF HECTOR : BURDETT, NY

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General NPI Number Information
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    NPI Number           |    1164996179
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOWN OF HECTOR 
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Dates
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    Enumeration Date     |    01/14/2019
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    Last Update Date     |    01/14/2019
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Provider Practice Location Address
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    Address Line         |    5097 STATE ROUTE 227 
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    City                 |    BURDETT
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    State                |    NY
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    Zip                  |    14818-9768
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    Country              |    US
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    Telephone            |    607-546-5286
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    Fax                  |    607-546-5200
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Provider Business Mailing Address
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    Address Line         |    5097 STATE ROUTE 227 
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    City                 |    BURDETT
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    State                |    NY
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    Zip                  |    14818-9768
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    Country              |    US
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    Telephone            |    607-546-5286
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    Fax                  |    607-546-5200
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Authorized Official
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    Title or Position    |    SUPERVISOR
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    Name                 |    MR. ALVIN J WHITE 
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    Credential           |    
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    Telephone            |    607-546-5286
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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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