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General NPI Number Information
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NPI Number | 1326115593
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Entity Type | Organization
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Legal Business Name | WHITE RIVER VALLEY AMBULANCE, INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 3190 PLEASANT STREET
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City | BETHEL
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State | VT
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Zip | 05032
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Country | US
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Telephone | 802-234-6800
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Fax | 802-234-5629
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Provider Business Mailing Address
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Address Line | 3190 PLEASANT STREET
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City | BETHEL
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State | VT
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Zip | 05032
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Country | US
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Telephone | 802-234-6800
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Fax | 802-234-6529
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Authorized Official
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Title or Position | OPERATIONS SUPERVISOR
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Name | PATRICIA A EDWARDS
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Credential |
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Telephone | 802-234-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0804
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License Number State | VT
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