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General NPI Number Information
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NPI Number | 1679225023
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Entity Type | Organization
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Legal Business Name | LYME AMBULANCE ASSOCIATION, INC.
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 213 HAMBURG RD
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City | LYME
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State | CT
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Zip | 06371-3419
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Country | US
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Telephone | 860-434-7225
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Fax | 860-452-4430
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Provider Business Mailing Address
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Address Line | PO BOX 911
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City | HADLYME
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State | CT
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Zip | 06439-0490
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Country | US
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Telephone | 860-434-7225
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Fax |
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Authorized Official
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Title or Position | CHIEF OF SERVICE
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Name | MR. STEVE OLSTEIN
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Credential |
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Telephone | 860-434-7225
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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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