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General NPI Number Information
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NPI Number | 1770513152
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Entity Type | Organization
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Legal Business Name | AMBULANCE SERVICE OF FULTON COUNTY, INC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 8 FRONTAGE RD.
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City | GLOVERSVILLE
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State | NY
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Zip | 12078
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Country | US
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Telephone | 518-725-3667
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Fax | 151-872-5771
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | CLIFTON PARK
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State | NY
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Zip | 12065
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Country | US
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Telephone | 518-235-7670
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Fax | 518-235-7601
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Authorized Official
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Title or Position | DIRECTOR OF EMS
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Name | SEAN WILSON
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Credential |
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Telephone | 518-725-3667
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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 | 09975
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 32143
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License Number State | NY
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