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NPI 1558508879

NPI 1558508879 : NEW MILFORD COMMUNITY AMBULANCE CORP : NEW MILFORD, CT

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General NPI Number Information
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    NPI Number           |    1558508879
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW MILFORD COMMUNITY AMBULANCE CORP 
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Dates
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    Enumeration Date     |    01/08/2009
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    Last Update Date     |    05/17/2025
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Provider Practice Location Address
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    Address Line         |    1 SCOVILLE STREET NEW MILFORD COMMUNITY AMBULANCE CORP
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    City                 |    NEW MILFORD
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    State                |    CT
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    Zip                  |    06776-0102
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    Country              |    US
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    Telephone            |    860-335-1769
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    195 ROUTE 80 
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    City                 |    KILLINGWORTH
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    State                |    CT
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    Zip                  |    06419-1400
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    Country              |    US
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    Telephone            |    860-663-3634
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    Fax                  |    860-663-3795
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DONNA T HESPE 
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    Credential           |    
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    Telephone            |    860-354-5058
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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       |    C096B1
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    License Number State |    CT
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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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