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General NPI Number Information
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NPI Number | 1366884744
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Entity Type | Organization
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Legal Business Name | THE BRIDGEWATER FIRE DEPARTMENT INCORPORATED
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 100 MAIN STREET SOUTH
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City | BRIDGEWATER
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State | CT
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Zip | 06752
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Country | US
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Telephone | 860-354-5967
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Fax | 860-354-5517
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | BRIDGEWATER
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State | CT
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Zip | 06752-0009
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Country | US
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Telephone | 203-948-1317
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Fax | 860-354-5517
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Authorized Official
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Title or Position | TREASURER
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Name | MR. SCOTT SHAIL
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Credential |
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Telephone | 860-354-5967
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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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Taxonomy #2
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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 | CT
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