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General NPI Number Information
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NPI Number | 1548654940
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Entity Type | Organization
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Legal Business Name | NEWSITE VOLUNTEER FIRE & AMBULANCE
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 12791 HIGHWAY 22 E
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City | NEW SITE
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State | AL
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Zip | 36256-3258
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Country | US
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Telephone | 256-236-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 12791 HIGHWAY 22 E
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City | NEW SITE
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State | AL
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Zip | 36256-3258
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | JAMES THOMPSON
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Credential |
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Telephone | 334-498-0041
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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 | 322
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License Number State | AL
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