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General NPI Number Information
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NPI Number | 1407188782
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Entity Type | Organization
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Legal Business Name | TOWN OF TONAWANDA EMERGENCY MEDICAL UNIT
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 1835 SHERIDAN DR
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City | BUFFALO
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State | NY
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Zip | 14223-1245
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Country | US
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Telephone | 716-879-6675
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Fax | 716-879-6644
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Provider Business Mailing Address
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Address Line | 1835 SHERIDAN DR
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City | BUFFALO
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State | NY
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Zip | 14223-1245
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Country | US
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Telephone | 716-879-6675
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Fax | 716-879-6644
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Authorized Official
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Title or Position | PARAMEDIC SUPERVISOR
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Name | MS. CARLA E BEVILACQUA
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Credential |
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Telephone | 716-879-6675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 066528
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License Number State | NY
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