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General NPI Number Information
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NPI Number | 1902867906
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Entity Type | Organization
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Legal Business Name | RESCUE 33 AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | RESCUE 33 AMBULANCE 1058 ALMARINE DRIVE
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City | GRUNDY
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State | VA
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Zip | 24614
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Country | US
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Telephone | 276-935-4911
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 911
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City | MABSCOTT
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State | WV
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Zip | 25871-0911
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Country | US
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Telephone | 304-575-2866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RANDY SUBER
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Credential |
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Telephone | 276-935-4911
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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 | 1142
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License Number State | VA
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