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General NPI Number Information
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NPI Number | 1194798082
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Entity Type | Organization
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Legal Business Name | VOLUNTEER MEDICAL SERVICE CORPS OF LANSDALE
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 175 MEDICAL CAMPUS DR
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City | LANSDALE
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State | PA
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Zip | 19446-1260
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Country | US
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Telephone | 215-855-3779
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Fax | 215-368-9512
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Provider Business Mailing Address
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Address Line | 175 MEDICAL CAMPUS DR
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City | LANSDALE
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State | PA
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Zip | 19446-1260
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Country | US
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Telephone | 215-855-3779
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Fax | 215-368-9512
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Authorized Official
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Title or Position | CHIEF
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Name | SHANE W WHEELER
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Credential |
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Telephone | 215-855-3779
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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 | 46027
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License Number State | PA
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