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General NPI Number Information
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NPI Number | 1245231117
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Entity Type | Organization
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Legal Business Name | PATRIOT AMBULANCE, INC.
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 248 MILL RD BLDG 2, UNIT 2
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City | CHELMSFORD
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State | MA
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Zip | 01824-4165
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Country | US
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Telephone | 978-367-5000
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Fax | 978-367-5017
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Provider Business Mailing Address
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Address Line | 248 MILL RD BLDG 2, UNIT 2
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City | CHELMSFORD
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State | MA
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Zip | 01824-4165
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Country | US
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Telephone | 978-367-5000
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Fax | 978-367-5017
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Authorized Official
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Title or Position | TREASURER
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Name | MR. DAVID J WALTON
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Credential |
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Telephone | 978-367-5000
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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 | 3747
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License Number State | MA
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