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General NPI Number Information
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NPI Number | 1689005878
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Entity Type | Organization
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Legal Business Name | ST. REGIS FALLS AMBULANCE INC
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 7 NORTH RIVER RD.
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City | ST. REGIS FALLS
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State | NY
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Zip | 12980
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Country | US
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Telephone | 585-856-9314
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 E MAIN RD
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City | LE ROY
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State | NY
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Zip | 14482-9704
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Country | US
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Telephone | 585-768-2192
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERNEST BOYCE
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Credential |
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Telephone | 518-856-9314
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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 | 1058
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License Number State | NY
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