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General NPI Number Information
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NPI Number | 1982604849
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Entity Type | Organization
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Legal Business Name | TOWN OF BRANFORD
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 45 N MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3010
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Country | US
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Telephone | 203-488-7266
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Fax | 203-315-3349
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Provider Business Mailing Address
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Address Line | 45 N MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3010
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Country | US
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Telephone | 203-488-7266
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Fax | 203-315-3349
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Authorized Official
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Title or Position | CHIEF
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Name | THOMAS MAHONEY
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Credential |
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Telephone | 203-488-7266
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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 |
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License Number State |
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