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General NPI Number Information
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NPI Number | 1871646968
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Entity Type | Organization
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Legal Business Name | TWIN RIVERS AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 274 FOSTER POND RD
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City | ALEXANDRIA
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State | NH
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Zip | 03222-6717
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Country | US
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Telephone | 603-744-3208
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Fax |
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Provider Business Mailing Address
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Address Line | 274 FOSTER POND RD
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City | ALEXANDRIA
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State | NH
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Zip | 03222-6717
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Country | US
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Telephone | 603-744-3208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT W HOMER
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Credential |
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Telephone | 603-744-3208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 08420P
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License Number State | NH
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