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General NPI Number Information
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NPI Number | 1811395981
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Entity Type | Organization
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Legal Business Name | NEWBURY VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 11111 KINSMAN RD
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City | NEWBURY
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State | OH
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Zip | 44065-9601
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Country | US
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Telephone | 440-564-2261
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Fax | 440-564-5874
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Provider Business Mailing Address
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Address Line | 11111 KINSMAN RD P O BOX 255
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City | NEWBURY
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State | OH
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Zip | 44065-9601
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Country | US
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Telephone | 440-564-2261
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Fax | 440-564-5874
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Authorized Official
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Title or Position | CHIEF
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Name | MR. DOUGLAS ZIMPERMAN
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Credential |
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Telephone | 440-346-0580
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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 | OH
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