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General NPI Number Information
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NPI Number | 1679561120
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Entity Type | Organization
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Legal Business Name | THE BETHANY VOLUNTEER FIREMENS ASSOCIATION INCORPORATED
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 765 AMITY RD
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City | BETHANY
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State | CT
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Zip | 06524-3028
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Country | US
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Telephone | 203-393-2799
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Fax | 203-234-0776
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Provider Business Mailing Address
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Address Line | 765 AMITY RD
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City | BETHANY
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State | CT
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Zip | 06524-3028
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Country | US
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Telephone | 203-393-2799
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Fax | 203-234-0776
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Authorized Official
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Title or Position | DIRECTOR
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Name | STEVEN KIRSCHBAUM
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Credential |
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Telephone | 203-747-4317
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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 | C008B1
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License Number State | CT
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