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General NPI Number Information
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NPI Number | 1992500821
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Entity Type | Organization
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Legal Business Name | FREDERICKSBURG RESCUE SQUAD
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 510 WILLIAM ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5747
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Country | US
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Telephone | 540-373-3264
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Fax |
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Provider Business Mailing Address
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Address Line | 510 WILLIAM ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5747
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Country | US
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Telephone | 540-373-3264
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Fax | 540-373-0480
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Authorized Official
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Title or Position | CHIEF
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Name | KURT GARDNER
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Credential |
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Telephone | 540-373-3264
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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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