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General NPI Number Information
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NPI Number | 1154303212
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Entity Type | Organization
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Legal Business Name | AMBULANCE AND CHAIR EMS, INC
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 75 BRADEN STREET
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City | WASHINGTON
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State | PA
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Zip | 15301-4001
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Country | US
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Telephone | 724-225-8050
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Fax | 724-225-2173
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Provider Business Mailing Address
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Address Line | 75 BRADEN STREET
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City | WASHINGTON
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State | PA
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Zip | 15301-4001
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Country | US
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Telephone | 724-225-8050
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Fax | 724-225-2173
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Authorized Official
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Title or Position | BOARD CHAIRPERSON
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Name | MR. LAWRENCE PHILLIP PANTUSO
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Credential |
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Telephone | 724-250-6378
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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 | 03040
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License Number State | PA
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