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General NPI Number Information
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NPI Number | 1104825991
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Entity Type | Organization
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Legal Business Name | MEDIC 9 PARAMEDIC SERVICE, INC.
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 311 BLUE VALLEY DR
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City | BANGOR
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State | PA
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Zip | 18013-1528
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Country | US
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Telephone | 610-588-9816
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Fax | 610-588-9818
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Provider Business Mailing Address
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Address Line | 311 BLUE VALLEY DR
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City | BANGOR
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State | PA
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Zip | 18013-1528
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Country | US
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Telephone | 610-588-9816
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Fax | 610-588-9818
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | MR. DONALD ALAN DEREAMUS
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Credential |
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Telephone | 610-588-9816
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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 | 02275
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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