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General NPI Number Information
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NPI Number | 1134115207
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Entity Type | Organization
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Legal Business Name | CITY OF WARREN
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 314 W 3RD AVE
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City | WARREN
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State | PA
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Zip | 16365-2334
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Country | US
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Telephone | 814-723-2950
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Fax | 814-723-3242
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Provider Business Mailing Address
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Address Line | PO BOX 207
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City | ALLENTOWN
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State | PA
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Zip | 18105-0207
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Country | US
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Telephone | 800-473-2278
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF CITY OF WARRREN
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Name | MR. SANTO JOSEPH PASCUZZI
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Credential |
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Telephone | 814-723-2950
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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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