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General NPI Number Information
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NPI Number | 1497413124
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Entity Type | Organization
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Legal Business Name | CHAPIN AMBULANCE LLC.
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 53 RAMAH CIR S
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City | AGAWAM
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State | MA
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Zip | 01001-1519
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Country | US
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Telephone | 413-209-8830
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Fax | 413-342-4556
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Provider Business Mailing Address
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Address Line | 53 RAMAH CIR S
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City | AGAWAM
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State | MA
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Zip | 01001-1519
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Country | US
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Telephone | 413-209-8830
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Fax | 413-342-4556
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. PAVEL KONSTANHINOVICH GUT
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Credential | MA EMTP, NRP
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Telephone | 413-636-3944
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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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