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General NPI Number Information
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NPI Number | 1497480602
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Entity Type | Organization
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Legal Business Name | BOARD OF FIRE COMMISSIONERS OF COPIAGUE FIRE DIST
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 320 GREAT NECK RD
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City | COPIAGUE
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State | NY
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Zip | 11726-3805
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Country | US
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Telephone | 631-559-8000
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Fax | 631-842-1408
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Provider Business Mailing Address
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Address Line | 320 GREAT NECK RD
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City | COPIAGUE
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State | NY
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Zip | 11726-3805
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Country | US
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Telephone | 631-559-8000
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Fax | 631-842-1408
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. DAVID ROTH
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Credential |
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Telephone | 631-559-8000
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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 |
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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 |
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License Number State |
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