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General NPI Number Information
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NPI Number | 1649280025
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Entity Type | Organization
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Legal Business Name | UNIONPORT VOLUNTEER FIRE AND RESCUE INCORPORATED
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 3619 CO. HIGHWAY 39
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City | BLOOMINGDALE
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State | OH
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Zip | 43910
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Country | US
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Telephone | 740-944-1587
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Fax | 740-944-1385
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Provider Business Mailing Address
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Address Line | 836 4TH AVENUE
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City | HUNTINGTON
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State | WV
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Zip | 25701-1704
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Country | US
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Telephone | 304-521-1576
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Fax | 304-521-1576
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Authorized Official
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Title or Position | CHIEF
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Name | COREY VIRTUE
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Credential |
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Telephone | 740-944-1587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | 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 | 020734950
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License Number State | OH
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