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General NPI Number Information
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NPI Number | 1184690380
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Entity Type | Organization
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Legal Business Name | AMITY RESCUE SQUAD INC
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 5184 STATE ROUTE 244
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City | BELMONT
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State | NY
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Zip | 14813-9797
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Country | US
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Telephone | 585-268-5689
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Fax | 585-268-7648
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Provider Business Mailing Address
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Address Line | 8610 MAIN STREET
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7455
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Country | US
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Telephone | 716-204-3350
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Fax | 716-247-5274
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. DONALD ZAJICEK
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Credential |
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Telephone | 585-307-0763
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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 | 0213
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License Number State | NY
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