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General NPI Number Information
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NPI Number | 1871583336
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Entity Type | Organization
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Legal Business Name | NORTH SHORE RESCUE SQUAD NO. 1, INC.
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 460 BRIELLE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6427
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Country | US
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Telephone | 718-490-5528
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Fax |
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Provider Business Mailing Address
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Address Line | 460 BRIELLE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6427
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Country | US
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Telephone | 718-490-5528
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | FRANCES MCCARTHY
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Credential |
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Telephone | 718-490-5528
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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 | 7413
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License Number State | NY
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