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General NPI Number Information
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NPI Number | 1740256684
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Entity Type | Organization
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Legal Business Name | LEROY AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1 TOUNTAS AVENUE
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City | LE ROY
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State | NY
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Zip | 14482-1345
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Country | US
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Telephone | 585-768-8612
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Fax | 585-768-2200
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Provider Business Mailing Address
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Address Line | 8610 MAIN STREET
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7455
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Country | US
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Telephone | 716-204-3350
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Fax | 716-247-5274
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANE R SPRAGUE
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Credential |
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Telephone | 585-768-8612
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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 | 1813
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License Number State | NY
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