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General NPI Number Information
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NPI Number | 1649260191
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Entity Type | Organization
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Legal Business Name | MONROE VOLUNTEER AMBULANCE CORPS INC
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 100 RAMAPO AVE
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City | MONROE
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State | NY
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Zip | 10950-3410
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Country | US
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Telephone | 845-774-3599
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 553
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City | MONROE
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State | NY
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Zip | 10949-0553
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Country | US
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Telephone | 845-774-3599
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. WAYNE CHAN
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Credential |
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Telephone | 845-774-3599
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 3521
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License Number State | NY
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