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NPI 1841273026

NPI 1841273026 : CAZENOVIA AREA VOLUNTEER AMBULANCE CORPS INC : CAZENOVIA, NY

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General NPI Number Information
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    NPI Number           |    1841273026
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAZENOVIA AREA VOLUNTEER AMBULANCE CORPS INC 
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Dates
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    Enumeration Date     |    11/22/2005
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    Last Update Date     |    04/08/2024
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Provider Practice Location Address
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    Address Line         |    106 NELSON ST 
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    City                 |    CAZENOVIA
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    State                |    NY
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    Zip                  |    13035
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    Country              |    US
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    Telephone            |    315-655-9798
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    892 NEW CASTLE RD 
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    City                 |    SLIPPERY ROCK
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    State                |    PA
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    Zip                  |    16057-4228
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    Country              |    US
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    Telephone            |    800-280-5974
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    Fax                  |    724-234-4703
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Authorized Official
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    Title or Position    |    TREASURER
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    Name                 |    MR. DENNIS  GOLDMANN 
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    Credential           |    
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    Telephone            |    315-655-0300
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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       |    09580
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    License Number State |    NY
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Taxonomy #2
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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 |    
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