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General NPI Number Information
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NPI Number | 1235424755
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Entity Type | Organization
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Legal Business Name | BURKEVILLE VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 503 NAMOZINE ST.
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City | BURKEVILLE
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State | VA
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Zip | 23922-0236
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Country | US
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Telephone | 434-767-4254
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Fax | 434-767-2200
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Provider Business Mailing Address
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Address Line | 503 NAMOZINE ST. PO BOX 236
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City | BURKEVILLE
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State | VA
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Zip | 23922-0236
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Country | US
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Telephone | 434-767-4254
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Fax | 434-767-2200
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. PAUL O BENNETT
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Credential |
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Telephone | 434-767-4254
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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 | 0600
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License Number State | VA
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