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General NPI Number Information
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NPI Number | 1528186475
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Entity Type | Organization
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Legal Business Name | EAST BURRILLVILLE FIRE DISTRICT
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 46 OAKLAND SCHOOL ST
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City | OAKLAND
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State | RI
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Zip | 02859-1011
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Country | US
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Telephone | 401-568-5720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8879
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City | CRANSTON
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State | RI
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Zip | 02920-0879
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Country | US
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Telephone | 401-572-3120
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Fax | 401-572-3351
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JOSEPH BERTHOLIC
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Credential |
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Telephone | 401-568-5720
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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 | 27
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License Number State | RI
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