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General NPI Number Information
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NPI Number | 1184742355
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Entity Type | Organization
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Legal Business Name | LANSFORD VOLUNTEER AMBULANCE CORPS INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 31 E PATTERSON ST
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City | LANSFORD
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State | PA
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Zip | 18232-1424
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Country | US
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Telephone | 570-645-9395
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Fax | 570-645-6482
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Provider Business Mailing Address
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Address Line | PO BOX 539
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City | MECHANICSBURG
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State | PA
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Zip | 17055-0539
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Country | US
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Telephone | 717-728-1690
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Fax | 717-728-1690
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. ROSE CONRAD
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Credential | EMT RN
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Telephone | 570-645-9395
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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 | 04140
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License Number State | PA
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