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General NPI Number Information
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NPI Number | 1902068885
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Entity Type | Organization
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Legal Business Name | TOWN OF DENNYSVILLE
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 58 KING STREET
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City | DENNYSVILLE
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State | ME
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Zip | 04628
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Country | US
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Telephone | 207-726-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 US RTE 1
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City | EDMUNDS TWP
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State | ME
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Zip | 04628-5412
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Country | US
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Telephone | 207-726-4674
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Fax |
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Authorized Official
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Title or Position | CHIEF VOLUNTEER
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Name | MR. WAYNE L SEELEY
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Credential | EMT-B
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Telephone | 207-726-4674
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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 | 220
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License Number State | ME
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