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General NPI Number Information
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NPI Number | 1194992230
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Entity Type | Organization
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Legal Business Name | ST CHARLES VOLUNTEER RESCUE SQUAD INC.
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 2461 SAINT CHARLES ROAD
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City | SAINT CHARLES
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State | VA
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Zip | 24282-0208
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Country | US
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Telephone | 276-383-4227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | SAINT CHARLES
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State | VA
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Zip | 24282-0218
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Country | US
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Telephone | 276-383-4017
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Fax | 276-383-4447
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Authorized Official
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Title or Position | CAPTAIN
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Name | JEFFREY L OAKS
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Credential |
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Telephone | 276-383-4017
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 970
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License Number State | VA
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