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General NPI Number Information
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NPI Number | 1174544340
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Entity Type | Organization
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Legal Business Name | JACKSON TWP VOL FIRE COMPANY
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 176 ADAMS AVE
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City | MINERAL POINT
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State | PA
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Zip | 15942-5831
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Country | US
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Telephone | 814-322-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 176 ADAMS AVE
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City | MINERAL POINT
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State | PA
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Zip | 15942-5831
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Country | US
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Telephone | 143-223-1558
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Fax | 814-322-1572
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Authorized Official
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Title or Position | FINANCIAL OFFICER
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Name | MARK SLOAN
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Credential |
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Telephone | 814-241-1221
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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 | 06060
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License Number State | PA
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