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General NPI Number Information
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NPI Number | 1497470736
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Entity Type | Organization
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Legal Business Name | TOWN OF CARROLLTON JOINT FIRE DISTRICT
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 640 MAIN ST
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City | LIMESTONE
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State | NY
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Zip | 14753-9773
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Country | US
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Telephone | 716-925-8842
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Fax |
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Provider Business Mailing Address
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Address Line | 8610 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7455
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Country | US
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Telephone | 716-204-3350
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Fax | 716-247-5274
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Authorized Official
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Title or Position | COMMISSIONER
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Name | DONALD L. JACOBY
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Credential |
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Telephone | 716-925-8842
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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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