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General NPI Number Information
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NPI Number | 1659316669
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Entity Type | Organization
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Legal Business Name | CENTRAL ONEIDA COUNTY VOLUNTEER AMBULANCE CORPS.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 7489 E SOUTH ST
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City | CLINTON
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State | NY
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Zip | 13323-3718
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Country | US
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Telephone | 315-853-2118
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Fax | 315-853-2611
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Provider Business Mailing Address
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Address Line | 892 NEW CASTLE RD
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-4228
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Country | US
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Telephone | 800-280-5974
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Fax | 724-794-1633
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DEAN DZWONKAS
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Credential |
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Telephone | 315-853-2118
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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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