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General NPI Number Information
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NPI Number | 1851467971
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Entity Type | Organization
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Legal Business Name | GREENPORT RESCUE SQUAD, INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3 NEWMAN RD
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City | HUDSON
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State | NY
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Zip | 12534-4040
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Country | US
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Telephone | 518-822-8511
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Fax | 518-822-0047
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | HUDSON
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State | NY
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Zip | 12534-4040
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Country | US
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Telephone | 518-822-8511
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Fax | 518-822-0047
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Authorized Official
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Title or Position | VP BOARD OF DIRECTORS
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Name | MR. ANTONIO D MERANTE JR.
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Credential |
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Telephone | 518-822-8511
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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 | 1013
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License Number State | NY
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