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General NPI Number Information
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NPI Number | 1780672139
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Entity Type | Organization
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Legal Business Name | TUSTEN VOLUNTEER AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 6509 STATE ROUTE 97
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City | NARROWSBURG
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State | NY
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Zip | 12764-0034
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Country | US
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Telephone | 845-252-3336
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Fax | 845-252-3336
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 315-635-1789
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Fax | 315-635-3289
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Authorized Official
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Title or Position | DIRECTOR
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Name | JASON A WELTON
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Credential |
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Telephone | 845-252-3336
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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 |
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License Number State | NY
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