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General NPI Number Information
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NPI Number | 1639643125
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Entity Type | Organization
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Legal Business Name | ORRS AND BAILEY ISLANDS FIRE DEPARTMENT
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 1600 HARPSWELL ISLAND RD
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City | ORR'S ISLAND
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State | ME
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Zip | 04066
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Country | US
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Telephone | 207-833-5405
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1810
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City | WINDHAM
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State | ME
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Zip | 04062-1810
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Country | US
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Telephone | 207-892-0020
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MR. BENJAMIN A WALLACE JR.
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Credential |
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Telephone | 207-833-5405
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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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