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General NPI Number Information
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NPI Number | 1760156004
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Entity Type | Organization
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Legal Business Name | DANTE RESCUE SQUAD, INC.
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 112 LOWER BEAR WALLOW ROAD
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City | DANTE
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State | VA
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Zip | 24237
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Country | US
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Telephone | 276-762-5844
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Fax |
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Provider Business Mailing Address
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Address Line | 81 CLINIC ST
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City | SAINT PAUL
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State | VA
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Zip | 24283-3656
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Country | US
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Telephone | 127-676-2770
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | DANIEL GLASS
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Credential |
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Telephone | 276-762-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 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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