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General NPI Number Information
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NPI Number | 1386731271
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Entity Type | Organization
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Legal Business Name | WESTBROOK AMBULANCE ASSOCIATION, INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1316 BOSTON POST RD
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City | WESTBROOK
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State | CT
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Zip | 06498-1972
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Country | US
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Telephone | 860-663-3634
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Fax | 860-663-3795
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Provider Business Mailing Address
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Address Line | PO BOX 682
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City | WESTBROOK
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State | CT
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Zip | 06498-0682
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Country | US
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Telephone | 860-663-3634
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Fax | 860-663-3795
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SANDRA CASTLEVETRO
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Credential |
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Telephone | 860-663-3634
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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 | E4515
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License Number State | CT
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