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NPI 1770782518

NPI 1770782518 : NEW CREEK VOLUNTEER FIRE DEPARTMENT : NEW CREEK, WV

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General NPI Number Information
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    NPI Number           |    1770782518
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW CREEK VOLUNTEER FIRE DEPARTMENT 
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Dates
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    Enumeration Date     |    07/12/2007
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    Last Update Date     |    10/17/2012
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Provider Practice Location Address
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    Address Line         |    STATE ROUTE 972 
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    City                 |    NEW CREEK
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    State                |    WV
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    Zip                  |    26742
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    Country              |    US
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    Telephone            |    304-788-4041
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    Fax                  |    304-788-4041
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10 
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    City                 |    NEW CREEK
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    State                |    WV
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    Zip                  |    26743-0010
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    Country              |    US
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    Telephone            |    304-788-4041
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    Fax                  |    304-788-4041
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Authorized Official
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    Title or Position    |    ASST. FIRE CHIEF
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    Name                 |     CHRISTOPHER  BIGGS 
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    Credential           |    
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    Telephone            |    304-788-4041
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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       |    62953
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    License Number State |    WV
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