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General NPI Number Information
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NPI Number | 1114030350
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 12 ARCH ST BOX 300
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City | BROWNSVILLE
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State | PA
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Zip | 15417-1611
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Country | US
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Telephone | 724-785-6558
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Fax | 724-785-4404
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Provider Business Mailing Address
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Address Line | 12 ARCH ST BOX 300
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City | BROWNSVILLE
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State | PA
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Zip | 15417-1611
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Country | US
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Telephone | 724-785-6558
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Fax | 724-785-4404
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Authorized Official
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Title or Position | TREASURER/CFO
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Name | MR. EDWARD T. STEVENSON
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Credential | EMTP
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Telephone | 724-785-6637
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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 | 05143
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License Number State | PA
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