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General NPI Number Information
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NPI Number | 1043228869
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Entity Type | Organization
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Legal Business Name | BETHEL COMMUNITY AMBULANCE
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 8170 LANCASTER AVE
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City | BETHEL
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State | PA
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Zip | 19507-0032
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Country | US
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Telephone | 717-933-8934
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Fax | 717-933-9689
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | BETHEL
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State | PA
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Zip | 19507-0032
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Country | US
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Telephone | 717-933-8934
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Fax | 717-933-9689
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Authorized Official
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Title or Position | CAPTAIN/TREASURER
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Name | MR. SYLVAN B WITMER
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Credential |
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Telephone | 717-933-8934
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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 | 05062
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License Number State | PA
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