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General NPI Number Information
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NPI Number | 1356331813
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Entity Type | Organization
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Legal Business Name | NEWINGTON VOLUNTEER AMBULANCE CORPS INCORPORATED
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 71 JOHN STEWART
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City | NEWINGTON
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State | CT
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Zip | 06111-3126
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Country | US
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Telephone | 860-667-5825
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Fax | 860-594-4148
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Provider Business Mailing Address
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Address Line | 1105 SCHROCK RD SUITE 610
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City | COLUMBUS
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State | OH
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Zip | 43229-1146
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Country | US
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Telephone | 888-317-3744
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Fax | 614-987-2075
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Authorized Official
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Title or Position | CHIEF
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Name | MR. JAMES JEHNINGS
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Credential |
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Telephone | 860-667-5825
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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 | C094P1
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License Number State | CT
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