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General NPI Number Information
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NPI Number | 1679395768
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Entity Type | Organization
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Legal Business Name | HEMLOCK FARMS - BLOOMING GROVE AMBULANCE
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 488 ROUTE 739
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City | LORDS VALLEY
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State | PA
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Zip | 18428-6018
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Country | US
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Telephone | 570-775-3774
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Fax | 570-775-3776
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 800-927-5845
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Fax | 315-635-3289
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Authorized Official
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Title or Position | EMS SUPERVISOR
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Name | ANNA LONG
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Credential |
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Telephone | 201-407-5787
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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 |
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License Number State |
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