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General NPI Number Information
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NPI Number | 1285613620
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Entity Type | Organization
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Legal Business Name | CAPE CHARLES RESCUE SERVICE INC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22215 SOUTH BAYSIDE RD
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City | CAPE CHARLES
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State | VA
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Zip | 23310
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Country | US
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Telephone | 757-331-2392
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Fax | 757-331-2229
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Provider Business Mailing Address
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Address Line | PO BOX 3009
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City | CHERITON
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State | VA
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Zip | 23331
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Country | US
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Telephone | 757-331-2392
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Fax | 757-331-2229
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Authorized Official
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Title or Position | TREASURER
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Name | MS. DIANNE B LEGGETT
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Credential |
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Telephone | 757-331-2392
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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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