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General NPI Number Information
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NPI Number | 1760448708
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Entity Type | Organization
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Legal Business Name | TOWN OF OGUNQUIT
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 15 SCHOOL STREET
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City | OGUNQUIT
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State | ME
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Zip | 03907-0875
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Country | US
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Telephone | 207-646-5112
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Fax | 207-646-6114
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Provider Business Mailing Address
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Address Line | PO BOX 1810
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City | WINDHAM
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State | ME
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Zip | 04062
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Country | US
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Telephone | 207-892-0020
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Fax | 207-893-0583
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Authorized Official
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Title or Position | RESCUE CHIEF
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Name | MARK OBRIEN
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Credential |
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Telephone | 207-646-5112
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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 | SERVICE # 495
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License Number State | ME
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