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General NPI Number Information
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NPI Number | 1437147808
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Entity Type | Organization
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Legal Business Name | RESCUE SQUAD OF CLIFTON FORGE VA INC
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 522 COMMERCIAL AVE
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City | CLIFTON FORGE
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State | VA
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Zip | 24422-1121
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Country | US
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Telephone | 540-598-6449
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Fax | 540-862-3354
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Provider Business Mailing Address
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Address Line | 836 4TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1407
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Country | US
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Telephone | 304-521-1576
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Fax | 304-521-1576
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Authorized Official
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Title or Position | CAPTAIN
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Name | MELISSA ANN VEST
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Credential |
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Telephone | 540-958-6449
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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 | 229
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License Number State | VA
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