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General NPI Number Information
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NPI Number | 1144423385
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Entity Type | Organization
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Legal Business Name | TRIADELPHIA VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 292 NATIONAL ROAD
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City | TRIADELPHIA
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State | WV
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Zip | 26059-0015
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Country | US
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Telephone | 304-547-5010
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Fax | 304-547-4293
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Provider Business Mailing Address
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Address Line | P.O. BOX 15
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City | TRIADELPHIA
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State | WV
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Zip | 26059-0015
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Country | US
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Telephone | 304-547-5010
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Fax | 304-547-4293
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Authorized Official
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Title or Position | PROVIDER RELATIONS SPECIALIST
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Name | MR. MIKE WHEELER
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Credential |
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Telephone | 304-521-1576
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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 | WV
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