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General NPI Number Information
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NPI Number | 1942273123
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Entity Type | Organization
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Legal Business Name | SEYMOUR AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 4 WAKELEY ST
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City | SEYMOUR
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State | CT
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Zip | 06483-2820
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Country | US
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Telephone | 203-888-8843
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Fax | 203-881-5018
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Provider Business Mailing Address
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Address Line | 4 WAKELEY ST
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City | SEYMOUR
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State | CT
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Zip | 06483-2820
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Country | US
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Telephone | 203-888-8843
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Fax | 203-881-5018
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KYLE KELLEY
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Credential |
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Telephone | 203-888-8843
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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 | C124I1
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | C124I1
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License Number State | CT
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