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General NPI Number Information
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NPI Number | 1811991243
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Entity Type | Organization
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Legal Business Name | KENT-QUEEN ANNE'S RESCUE SQUAD INC.
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 140 MORGNEC RD
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City | CHESTERTOWN
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State | MD
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Zip | 21620
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Country | US
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Telephone | 410-778-4495
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | CHESTERTOWN
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State | MD
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Zip | 21620-0126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MR. JASON TAYLOR LOBLEY
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Credential |
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Telephone | 410-708-9437
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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 | 343900000X
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License Number State | MD
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