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General NPI Number Information
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NPI Number | 1922090117
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Entity Type | Organization
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Legal Business Name | TOWN OF SOMERS
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 400 MAIN ST
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City | SOMERS
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State | CT
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Zip | 06071-1918
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Country | US
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Telephone | 860-749-7626
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 98
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City | SOMERS
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State | CT
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Zip | 06071-0098
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Country | US
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Telephone | 860-668-3885
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Fax | 860-668-3885
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL MARINACCIO
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Credential |
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Telephone | 860-763-8200
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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 | C129B1
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License Number State | CT
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