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General NPI Number Information
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NPI Number | 1720128168
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Entity Type | Organization
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Legal Business Name | SALEM VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 60 MILL STREET
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City | SALEM
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State | WV
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Zip | 26426-9402
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Country | US
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Telephone | 304-782-3333
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Fax | 304-782-3819
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | SALEM
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State | WV
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Zip | 26426-0126
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Country | US
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Telephone | 304-782-3333
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Fax | 304-782-3819
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Authorized Official
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Title or Position | CHIEF
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Name | MR. RICHARD VAN TODD
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Credential |
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Telephone | 304-782-3333
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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 | 51711
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License Number State | WV
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