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NPI 1336140086

NPI 1336140086 : VOLUNTEER FIRE COMPANY OF HALFWAY MD. INC : HAGERSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1336140086
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    Entity Type          |    Organization 
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    Legal Business Name  |    VOLUNTEER FIRE COMPANY OF HALFWAY MD. INC 
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Dates
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    Enumeration Date     |    08/03/2005
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    Last Update Date     |    02/25/2020
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Provider Practice Location Address
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    Address Line         |    11114 LINCOLN AVE 
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    City                 |    HAGERSTOWN
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    State                |    MD
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    Zip                  |    21740-7514
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    Country              |    US
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    Telephone            |    301-582-2223
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    Fax                  |    301-582-1075
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Provider Business Mailing Address
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    Address Line         |    269 MAIN ST 
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    City                 |    CROMWELL
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    State                |    CT
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    Zip                  |    06416-2361
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    Country              |    US
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    Telephone            |    860-638-1800
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    Fax                  |    860-638-1802
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     CHRISTOPHER  AMOS 
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    Credential           |    
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    Telephone            |    301-582-2223
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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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