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General NPI Number Information
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NPI Number | 1184601742
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Entity Type | Organization
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Legal Business Name | MOSHANNON VALLEY EMS
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 14 W LOCUST ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2100
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Country | US
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Telephone | 814-342-3292
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Fax | 814-342-1308
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Provider Business Mailing Address
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Address Line | PO BOX 289
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City | PHILIPSBURG
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State | PA
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Zip | 16866-0289
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Country | US
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Telephone | 814-342-3292
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Fax | 814-342-1308
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Authorized Official
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Title or Position | CORPORATE MANAGER
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Name | MRS. SANDRA FAY FOSTER
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Credential |
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Telephone | 814-342-3292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 03187
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License Number State | PA
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