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General NPI Number Information
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NPI Number | 1033180559
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Entity Type | Organization
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Legal Business Name | PENN TOWNSHIP AMBULANCE ASSOCIATION RESCUE NO 6
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1030 SANDY HILL RD
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City | IRWIN
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State | PA
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Zip | 15642-4700
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Country | US
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Telephone | 724-744-4112
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Fax | 724-744-4599
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Provider Business Mailing Address
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Address Line | 1030 SANDY HILL RD
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City | IRWIN
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State | PA
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Zip | 15642-4700
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Country | US
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Telephone | 724-744-4112
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Fax | 724-744-4599
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDGAR GRANT
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Credential |
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Telephone | 724-744-4112
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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 | 05169
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License Number State | PA
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