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General NPI Number Information
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NPI Number | 1447469689
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Entity Type | Organization
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Legal Business Name | PEARL RIVER ALUMNI AMBULANCE CORPORATION
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 15 N PEARL ST
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City | PEARL RIVER
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State | NY
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Zip | 10965-2147
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Country | US
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Telephone | 845-228-3112
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Fax | 845-627-6728
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Provider Business Mailing Address
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Address Line | PO BOX 1046
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City | PEARL RIVER
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State | NY
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Zip | 10965-0346
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Country | US
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Telephone | 845-228-3112
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Fax | 845-627-6728
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL J HADELER
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Credential |
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Telephone | 845-735-2066
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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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