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General NPI Number Information
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NPI Number | 1306230131
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Entity Type | Organization
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Legal Business Name | AMISSVILLE VOLUNTEER FIRE & RESCUE COMPANY, INC
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 14711 LEE HIGHWAY
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City | AMISSVILLE
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State | VA
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Zip | 20106
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Country | US
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Telephone | 540-937-5125
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | AMISSVILLE
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State | VA
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Zip | 20106-0147
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Country | US
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Telephone | 540-937-5125
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | JAMES CARTER
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Credential |
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Telephone | 540-272-9500
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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 | 31
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License Number State | VA
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