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General NPI Number Information
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NPI Number | 1992835557
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Entity Type | Organization
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Legal Business Name | LORDS AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 44 CENTER STREET
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City | WOLFEBORO
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State | NH
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Zip | 03894
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Country | US
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Telephone | 603-569-2081
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Fax | 603-569-6214
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | CENTER OSSIPEE
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State | NH
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Zip | 03814-0490
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Country | US
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Telephone | 603-539-7585
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Fax | 603-569-6214
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN C LORD
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Credential |
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Telephone | 603-539-7585
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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 | 0125
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License Number State | NH
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