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General NPI Number Information
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NPI Number | 1447226378
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Entity Type | Organization
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Legal Business Name | PROSPECT VOLUNTEER AMBULANCE, INC.
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 915 TRENTON FALLS ST.
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City | PROSPECT
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State | NY
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Zip | 13435
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Country | US
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Telephone | 585-768-2192
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 409
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City | REMSEN
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State | NY
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Zip | 13438-0409
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Country | US
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Telephone | 315-831-1010
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARAH SHOREY
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Credential |
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Telephone | 315-831-1010
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3226
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License Number State | NY
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