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General NPI Number Information
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NPI Number | 1417903345
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Entity Type | Organization
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Legal Business Name | LOWER CAPE AMBULANCE ASSOCIATION, INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24 RACE POINT RD
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City | PROVINCETOWN
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State | MA
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Zip | 02657-1528
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Country | US
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Telephone | 508-487-1733
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Fax | 508-487-2287
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Provider Business Mailing Address
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Address Line | PO BOX 161
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City | WHITINSVILLE
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State | MA
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Zip | 01588-0161
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Country | US
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Telephone | 508-476-9740
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Fax | 508-476-9748
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Authorized Official
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Title or Position | TREASURER
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Name | STEVEN E RODERICK
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Credential |
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Telephone | 508-487-1733
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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 |
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License Number State |
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