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General NPI Number Information
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NPI Number | 1407837834
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Entity Type | Organization
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Legal Business Name | BROOME VOLUNTEER EMERGENCY SQUAD INC
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 261 COURT ST
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City | BINGHAMTON
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State | NY
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Zip | 13901-3602
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Country | US
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Telephone | 855-978-6303
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Fax | 888-965-4620
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Provider Business Mailing Address
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Address Line | PO BOX 29895
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City | NEW YORK
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State | NY
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Zip | 10087-9895
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Country | US
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Telephone | 855-978-6303
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Fax | 888-965-4620
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | STEVEN BROWN
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Credential |
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Telephone | 607-772-6565
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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 | 91091
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License Number State | NY
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