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General NPI Number Information
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NPI Number | 1639063548
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Entity Type | Organization
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Legal Business Name | ALEXANDRIA BAY JOINT FIRE DISTRICT
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 110 WALTON ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1200
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Country | US
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Telephone | 315-482-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 110 WALTON ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1200
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Country | US
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Telephone | 315-482-2121
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Fax |
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Authorized Official
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Title or Position | EMS CHIEF
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Name | CHERYL VANBROCKLIN
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Credential |
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Telephone | 315-482-2121
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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 |
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License Number State |
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