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General NPI Number Information
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NPI Number | 1609960210
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Entity Type | Organization
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Legal Business Name | ERWAY AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 2030 COLLEGE AVENUE
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City | ELMIRA HEIGHTS
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State | NY
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Zip | 14903-1600
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Country | US
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Telephone | 607-734-5017
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Fax | 607-732-2956
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Provider Business Mailing Address
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Address Line | 2030 COLLEGE AVENUE
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City | ELMIRA HEIGHTS
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State | NY
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Zip | 14903-1600
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Country | US
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Telephone | 607-734-5017
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Fax | 607-732-2956
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Authorized Official
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Title or Position | CEO
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Name | JAMES KINTZ
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Credential |
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Telephone | 607-734-5017
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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 | 10673
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License Number State | NY
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