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General NPI Number Information
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NPI Number | 1184674889
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Entity Type | Organization
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Legal Business Name | OCEAN REEF VOLUNTEER FIRE DEPARTMENT INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 110 ANCHOR DR
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City | KEY LARGO
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State | FL
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Zip | 33037
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Country | US
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Telephone | 305-367-2222
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Fax | 305-367-3139
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Provider Business Mailing Address
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Address Line | 24 DOCKSIDE LN PMB 505
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City | KEY LARGO
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State | FL
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Zip | 33037-5267
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Country | US
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Telephone | 305-367-3067
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Fax | 305-367-4246
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. GREGORY LUNSFORD
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Credential |
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Telephone | 305-367-7323
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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 | 2643
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License Number State | FL
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