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General NPI Number Information
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NPI Number | 1689438566
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Entity Type | Organization
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Legal Business Name | FIRST LIGHT SERVICES LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 63 CAPE WOODS DR
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City | EAST FALMOUTH
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State | MA
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Zip | 02536-4605
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Country | US
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Telephone | 508-977-7911
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Fax |
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Provider Business Mailing Address
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Address Line | 69 DILLINGHAM AVE
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City | SANDWICH
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State | MA
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Zip | 02563-1956
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Country | US
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Telephone | 508-566-1800
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. TERRY DEAN KEITH
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Credential | RN, NRP
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Telephone | 508-566-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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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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