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General NPI Number Information
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NPI Number | 1932105293
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Entity Type | Organization
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Legal Business Name | BETHLEHEM AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | MAIN ST SOUTH
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City | BETHLEHEM
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State | CT
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Zip | 06751
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Country | US
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Telephone | 203-266-6666
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Fax | 203-266-6666
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Provider Business Mailing Address
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Address Line | PO BOX 401 83 MAIN STREET SOUTH
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City | BETHLEHEM
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State | CT
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Zip | 06751-0401
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Country | US
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Telephone | 203-266-6666
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Fax | 203-266-5535
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Authorized Official
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Title or Position | TREASURER
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Name | SUSAN MARCH
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Credential |
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Telephone | 203-266-7890
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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 | CT123
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License Number State | CT
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