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General NPI Number Information
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NPI Number | 1184505604
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Entity Type | Individual
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Provider Name | CHARLES JAMES DROLLETTE JR. EMT-P
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Gender | Male
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 7336 STATE ROUTE 31
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City | LYONS
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State | NY
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Zip | 14489-9146
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Country | US
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Telephone | 585-729-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 7246 E PORT BAY RD
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City | WOLCOTT
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State | NY
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Zip | 14590-9555
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Country | US
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Telephone | 585-729-4406
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 312737
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License Number State | NY
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