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General NPI Number Information
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NPI Number | 1578615043
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Entity Type | Organization
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Legal Business Name | ALLEGANY AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 176 W MAIN ST
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City | FROSTBURG
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State | MD
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Zip | 21532-1607
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Country | US
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Telephone | 301-689-1133
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Fax | 301-689-5551
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Provider Business Mailing Address
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Address Line | 176 W MAIN ST
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City | FROSTBURG
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State | MD
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Zip | 21532-1607
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Country | US
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Telephone | 301-689-1133
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Fax | 301-689-5551
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. DORIS FAYE TROUTMAN
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Credential |
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Telephone | 301-689-1133
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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 | 045
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License Number State | MD
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