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General NPI Number Information
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NPI Number | 1053470997
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Entity Type | Organization
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Legal Business Name | WESTFALL TOWNSHIP VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 101 MOUNTAIN AVENUE
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City | MATAMORAS
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State | PA
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Zip | 18336
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Country | US
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Telephone | 570-491-4717
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Fax | 570-491-2788
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Provider Business Mailing Address
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Address Line | PO BOX 1846
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City | SHAVERTOWN
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State | PA
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Zip | 18708-0846
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Country | US
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Telephone | 570-714-3695
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Fax | 570-714-3695
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | PATRICIA T ASH
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Credential |
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Telephone | 570-477-1900
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 03386
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License Number State | PA
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