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General NPI Number Information
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NPI Number | 1609015213
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Entity Type | Organization
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Legal Business Name | VILLAGE OF SCOTTSVILLE
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 385 SCOTTSVILLE MUMFORD RD
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City | SCOTTSVILLE
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State | NY
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Zip | 14546-9712
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Country | US
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Telephone | 585-889-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MAIN ST PO BOX 36
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City | SCOTTSVILLE
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State | NY
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Zip | 14546-1316
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Country | US
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Telephone | 585-889-6050
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Fax | 585-889-2505
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Authorized Official
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Title or Position | CHIEF
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Name | MATTHEW JARRETT
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Credential |
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Telephone | 585-889-6050
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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 | 0875
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License Number State | NY
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