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General NPI Number Information
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NPI Number | 1255043188
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Entity Type | Organization
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Legal Business Name | WADING RIVER FIRE DISTRICT
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1503 N COUNTRY RD
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City | WADING RIVER
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State | NY
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Zip | 11792-1640
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Country | US
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Telephone | 631-929-4362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18230
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City | PITTSBURGH
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State | PA
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Zip | 15236-0230
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Country | US
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Telephone | 631-886-0104
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Fax |
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Authorized Official
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Title or Position | DISTRICT ADMIN
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Name | AMANDA TELEPAN
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Credential |
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Telephone | 631-886-0104
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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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