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General NPI Number Information
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NPI Number | 1144212911
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Entity Type | Organization
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Legal Business Name | WAYNESBORO AMBULANCE SQUAD INC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 603 W MAIN ST
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City | WAYNESBORO
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State | PA
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Zip | 17268-1417
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Country | US
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Telephone | 717-762-5338
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Fax | 717-762-1735
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Provider Business Mailing Address
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Address Line | 603 W MAIN ST
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City | WAYNESBORO
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State | PA
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Zip | 17268-1417
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Country | US
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Telephone | 717-762-5338
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Fax | 717-762-1735
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN J ROCK
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Credential |
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Telephone | 717-762-5338
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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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