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General NPI Number Information
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NPI Number | 1639340615
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Entity Type | Organization
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Legal Business Name | BUCKINGHAM COUNTY VOLUNTEER RESCUE SQUAD, INC.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 222 WINGO ROAD
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City | DILLWYN
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State | VA
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Zip | 23936
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Country | US
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Telephone | 434-983-3560
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Fax | 434-983-3566
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | DILLWYN
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State | VA
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Zip | 23936-0444
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Country | US
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Telephone | 434-983-3560
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Fax | 434-983-3566
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Authorized Official
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Title or Position | CHIEF OF OPERATIONS
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Name | SAFFORD EMORY GRAY
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Credential |
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Telephone | 434-392-7923
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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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