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NPI 1255307294

NPI 1255307294 : HAMLIN VOLUNTEER AMBULANCE CORP, INC : HAMLIN, NY

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General NPI Number Information
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    NPI Number           |    1255307294
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAMLIN VOLUNTEER AMBULANCE CORP, INC 
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Dates
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    Enumeration Date     |    02/28/2006
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    Last Update Date     |    01/31/2008
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Provider Practice Location Address
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    Address Line         |    1483 LAKE RD 
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    City                 |    HAMLIN
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    State                |    NY
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    Zip                  |    14464-9368
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    Country              |    US
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    Telephone            |    585-768-2192
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 186 
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    City                 |    LE ROY
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    State                |    NY
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    Zip                  |    14482-0186
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    Country              |    US
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    Telephone            |    585-768-2192
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    Fax                  |    585-768-7323
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     COLLEEN  ROGERS 
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    Credential           |    
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    Telephone            |    585-768-2192
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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       |    2711
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    License Number State |    NY
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