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General NPI Number Information
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NPI Number | 1982705554
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Entity Type | Organization
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Legal Business Name | BAY RIDGE RESCUE SQUAD
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1109 RIDGE RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-6915
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Country | US
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Telephone | 518-761-8240
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 676
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City | GLENS FALLS
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State | NY
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Zip | 12801-0676
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Country | US
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Telephone | 888-603-2455
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Fax | 518-391-2601
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Authorized Official
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Title or Position | CEO
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Name | CARLINE KELLY-BARNES
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Credential |
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Telephone | 518-743-9566
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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 | 5613
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License Number State | NY
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