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General NPI Number Information
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NPI Number | 1568438596
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Entity Type | Organization
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Legal Business Name | GATES VOLUNTEER AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 1001 ELMGROVE RD
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City | ROCHESTER
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State | NY
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Zip | 14624-1362
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Country | US
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Telephone | 585-247-5519
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Fax | 585-426-5948
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Provider Business Mailing Address
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Address Line | 1001 ELMGROVE RD
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City | ROCHESTER
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State | NY
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Zip | 14624-1362
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Country | US
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Telephone | 585-247-5519
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Fax | 585-426-5948
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Authorized Official
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Title or Position | CHIEF
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Name | MELISSA GEFFERT
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Credential |
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Telephone | 585-247-5519
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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 | 2738
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License Number State | NY
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