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General NPI Number Information
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NPI Number | 1518291095
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Entity Type | Organization
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Legal Business Name | THE ROCK VOLUNTEER AMBULANCE CORPS INC.
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 510 BEACH 20TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3622
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Country | US
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Telephone | 718-327-2865
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Fax |
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Provider Business Mailing Address
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Address Line | 510 BEACH 20TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3622
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Country | US
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Telephone | 718-327-2865
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MR. WILLIAM HEATH
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Credential |
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Telephone | 718-327-2865
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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 | 0689
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License Number State | NY
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