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General NPI Number Information
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NPI Number | 1881821882
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Entity Type | Organization
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Legal Business Name | OAKWOOD VOLUNTEER FIRE DEPARTMENT INCORPORATED
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 10491 GARDEN CREEK RD
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City | OAKWOOD
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State | VA
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Zip | 24631
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Country | US
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Telephone | 276-498-7921
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Fax | 276-498-7922
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Provider Business Mailing Address
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Address Line | PO BOX J 10491 GARDEN CREEK RD
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City | OAKWOOD
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State | VA
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Zip | 24631-1009
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Country | US
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Telephone | 276-498-7921
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Fax | 276-498-7922
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Authorized Official
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Title or Position | CAPTAIN
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Name | MR. HARLESS W KEENE
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Credential |
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Telephone | 276-498-7921
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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 | 379
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License Number State | VA
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