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General NPI Number Information
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NPI Number | 1346262425
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Entity Type | Organization
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Legal Business Name | WESTMORELAND COUNTY VOLUNTEER RESCUE SQUAD, INC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 65 MOUNT HOLLY RD
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City | MOUNT HOLLY
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State | VA
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Zip | 22524
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Country | US
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Telephone | 804-472-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 65 MOUNT. HOLLY ROAD
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City | MT. HOLLY
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State | VA
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Zip | 22524
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Country | US
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Telephone | 804-472-2632
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | RICK MCCLURE
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Credential |
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Telephone | 804-472-2632
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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 | 00281
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License Number State | VA
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