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General NPI Number Information
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NPI Number | 1477680528
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Entity Type | Organization
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Legal Business Name | HARRISON COUNTY EMERGENCY SQUAD
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 660 OAKMOUND RD
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City | CLARKSBURG
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State | WV
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Zip | 26301-9798
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Country | US
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Telephone | 304-623-6611
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Fax | 304-623-3046
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Provider Business Mailing Address
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Address Line | 660 OAKMOUND RD
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City | CLARKSBURG
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State | WV
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Zip | 26301-9798
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Country | US
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Telephone | 304-623-6611
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Fax | 304-623-3046
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RICHARD B ROCK
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Credential |
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Telephone | 304-623-6611
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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 | 001
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License Number State | WV
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