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NPI 1194720300

NPI 1194720300 : TOWN OF COLONIE EMS : LATHAM, NY

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General NPI Number Information
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    NPI Number           |    1194720300
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOWN OF COLONIE EMS 
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Dates
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    Enumeration Date     |    06/15/2005
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    Last Update Date     |    07/16/2024
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Provider Practice Location Address
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    Address Line         |    534 NEW LOUDON RD 
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    City                 |    LATHAM
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    State                |    NY
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    Zip                  |    12110-5316
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    Country              |    US
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    Telephone            |    518-783-2817
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    Fax                  |    518-783-2877
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Provider Business Mailing Address
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    Address Line         |    534 NEW LOUDON RD 
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    City                 |    LATHAM
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    State                |    NY
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    Zip                  |    12110-5316
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    Country              |    US
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    Telephone            |    518-783-2817
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    Fax                  |    518-783-2877
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Authorized Official
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    Title or Position    |    ACCOUNTING ASSISTANT
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    Name                 |    MS. LEEANNE  BIANCE 
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    Credential           |    
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    Telephone            |    518-783-2817
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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       |    03C0002
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    License Number State |    NY
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