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General NPI Number Information
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NPI Number | 1144297375
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Entity Type | Organization
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Legal Business Name | GOLD CROSS AMBULANCE SERVICES OF PA, INC
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3625 E STATE ST
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City | HERMITAGE
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State | PA
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Zip | 16148-3411
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Country | US
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Telephone | 724-981-2534
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Fax | 724-981-3690
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Provider Business Mailing Address
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Address Line | 481 WILLIAM GAITER PKWY
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City | BUFFALO
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State | NY
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Zip | 14215-2731
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Country | US
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Telephone | 716-882-8400
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Fax | 716-887-8379
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DEBORAH STREETY
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Credential |
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Telephone | 716-882-8400
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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 | 04314
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License Number State | PA
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