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General NPI Number Information
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NPI Number | 1184630980
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Entity Type | Organization
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Legal Business Name | SOUTH CREEK AMBULANCE ASSN INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 33338 ROUTE 14
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City | GILLETT
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State | PA
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Zip | 16925-8838
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Country | US
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Telephone | 570-596-7844
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Fax | 724-887-9440
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Provider Business Mailing Address
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Address Line | 409 PORTER AVE
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City | SCOTTDALE
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State | PA
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Zip | 15683-1141
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Country | US
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Telephone | 724-887-6822
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Fax | 724-887-9440
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Authorized Official
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Title or Position | TREASURER
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Name | MARION PFEIFFER
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Credential |
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Telephone | 570-596-7844
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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 |
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