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General NPI Number Information
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NPI Number | 1043399546
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Entity Type | Organization
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Legal Business Name | INTERSTATE NURSING SERVICES INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4119 REDBUD DR W
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City | WHITEHALL
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State | PA
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Zip | 18052-1951
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Country | US
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Telephone | 610-262-2403
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Fax |
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Provider Business Mailing Address
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Address Line | 4119 REDBUD DR W
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City | WHITEHALL
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State | PA
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Zip | 18052-1951
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Country | US
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Telephone | 610-262-2403
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GEORGE N MARAGIA
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Credential |
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Telephone | 610-262-2403
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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 | 06138
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License Number State | PA
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