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General NPI Number Information
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NPI Number | 1154330116
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Entity Type | Organization
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Legal Business Name | FWM EMERGENCY SQUAD, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 236 SCHOOLHOUSE HILL RD
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City | MEHOOPANY
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State | PA
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Zip | 18629
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Country | US
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Telephone | 570-833-2092
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Fax | 570-833-5964
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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 | 484-664-2015
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BENJAMIN THOMAS JR.
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Credential |
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Telephone | 570-665-2989
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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 | 03368
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License Number State | PA
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