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General NPI Number Information
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NPI Number | 1265521744
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Entity Type | Organization
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Legal Business Name | TOWN OF CONWAY
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | ASHFIELD ROAD
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City | CONWAY
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State | MA
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Zip | 01341-0412
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Country | US
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Telephone | 413-369-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 32 MAIN STREETL PO BOX 412
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City | CONWAY
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State | MA
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Zip | 01341-0412
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Country | US
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Telephone | 413-369-4055
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Fax |
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Authorized Official
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Title or Position | AMBULANCE DIECTOR
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Name | MS. DIANE O'CONNELL
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Credential | EMT
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Telephone | 413-369-4055
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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 | 3370
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License Number State | MA
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