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General NPI Number Information
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NPI Number | 1174514913
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Entity Type | Organization
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Legal Business Name | FAIRFIELD VOL FIRE CO NO1
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 43 MAIN STREET
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City | FAIRFIELD
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State | NJ
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Zip | 08320
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Country | US
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Telephone | 856-451-3676
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | BRIDGETON
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State | NJ
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Zip | 08320-0066
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Country | US
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Telephone | 800-473-2278
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | STEVEN BATEMAN
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Credential |
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Telephone | 856-451-3676
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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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