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General NPI Number Information
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NPI Number | 1407832819
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Entity Type | Organization
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Legal Business Name | ALBURG VOLUNTEER FIRE DEPARTMENT, INC.
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 12/26/2016
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Provider Practice Location Address
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Address Line | 60 FIREHOUSE RD
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City | ALBURG
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State | VT
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Zip | 05440-4403
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Country | US
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Telephone | 802-338-7482
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Fax | 802-796-3162
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Provider Business Mailing Address
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Address Line | 60 FIREHOUSE RD
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City | ALBURGH
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State | VT
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Zip | 05440-4403
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Country | US
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Telephone | 802-796-3402
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Fax | 802-796-3162
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. TYLER JAMES GOTSHALL
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Credential |
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Telephone | 802-338-7482
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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 | 0101
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License Number State | VT
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