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General NPI Number Information
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NPI Number | 1104976869
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Entity Type | Organization
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Legal Business Name | SUMMERVILLE VOLUNTEER FIREMEN'S ASSOCIATION
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 12795 HARRISON ST
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City | SUMMERVILLE
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State | PA
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Zip | 15864
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Country | US
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Telephone | 814-856-2250
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Fax | 814-856-2445
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Provider Business Mailing Address
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Address Line | PO BOX 86 12795 HARRISON ST.
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City | SUMMERVILLE
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State | PA
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Zip | 15864-0086
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Country | US
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Telephone | 814-856-2250
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Fax | 814-856-2445
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Authorized Official
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Title or Position | RESCUE CHIEF
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Name | MR. KEVIN D SNYDER
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Credential | EMT-P
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Telephone | 814-583-5875
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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 | 347308
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License Number State | PA
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