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General NPI Number Information
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NPI Number | 1972573806
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Entity Type | Organization
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Legal Business Name | NEWCOMB VOLUNTEER FIRE DEPT.
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 20 MARCY LANE
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City | NEWCOMB
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State | NY
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Zip | 12852-2016
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Country | US
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Telephone | 518-582-4713
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Fax | 518-582-4207
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Provider Business Mailing Address
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Address Line | 107 WASHINGTON AVE
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City | ALBANY
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State | NY
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Zip | 12210-2231
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Country | US
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Telephone | 888-603-2455
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Fax | 888-603-2455
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Authorized Official
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Title or Position | EMS CAPTAIN
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Name | ERIC JAMES FITZGERALD
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Credential |
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Telephone | 888-603-2455
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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 | 1525
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License Number State | NY
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