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General NPI Number Information
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NPI Number | 1376763003
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Entity Type | Organization
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Legal Business Name | TOWN OF SOUTH THOMASTON
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 125 SPRUCE HEAD ROAD
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City | SOUTH THOMASTON
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State | ME
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Zip | 04858
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Country | US
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Telephone | 800-964-9200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | SOUTH THOMASTON
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State | ME
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Zip | 04858-0147
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Country | US
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Telephone | 800-964-9200
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Fax |
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Authorized Official
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Title or Position | SERVICE CHIEF
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Name | RICHARD NORMAN
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Credential |
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Telephone | 800-964-9200
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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 | 660
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License Number State | ME
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