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General NPI Number Information
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NPI Number | 1982695870
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Entity Type | Organization
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Legal Business Name | CITY OF GLOUCESTER
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 8 SCHOOL ST. CITY OF GLOUCESTER FIRE DEPARTMENT AMBULANCE SERVICE
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City | GLOUCESTER
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State | MA
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Zip | 01930
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Country | US
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Telephone | 978-281-9760
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Fax | 978-281-9822
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Provider Business Mailing Address
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Address Line | 8 SCHOOL ST. CITY OF GLOUCESTER FIRE DEPARTMENT AMBULANCE SERVICE
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City | GLOUCESTER
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State | MA
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Zip | 01930
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Country | US
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Telephone | 978-281-9760
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Fax | 978-281-9822
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | SANDER RICHARD SCHULTZ
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Credential |
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Telephone | 978-281-9760
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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 | 3206
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License Number State | MA
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