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General NPI Number Information
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NPI Number | 1356079529
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Entity Type | Organization
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Legal Business Name | GAINESVILLE FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 2 EAST STREET
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City | GAINESVILLE
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State | NY
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Zip | 14066
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Country | US
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Telephone | 585-493-5956
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 353
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City | GAINESVILLE
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State | NY
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Zip | 14066-0353
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Country | US
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Telephone | 585-493-5956
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DUSTY DEITER
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Credential |
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Telephone | 585-493-5956
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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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