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General NPI Number Information
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NPI Number | 1760417604
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Entity Type | Organization
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Legal Business Name | WILTON EMERGENCY SQUAD
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 1 HARRAN LANE
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City | SARTOGA SPRINGS
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State | NY
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Zip | 12866
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Country | US
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Telephone | 518-886-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HARRAN LN
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5723
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Country | US
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Telephone | 518-886-8117
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Fax | 518-587-4258
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTOR A HUGGARD JR.
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Credential |
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Telephone | 518-886-8117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 10193
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License Number State | NY
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