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General NPI Number Information
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NPI Number | 1194799759
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Entity Type | Organization
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Legal Business Name | BUFFALO TOWNSHIP EMS
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 663 EKASTOWN RD
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City | SARVER
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State | PA
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Zip | 16055-9524
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Country | US
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Telephone | 724-353-2510
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Fax | 724-353-2539
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Provider Business Mailing Address
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Address Line | PO BOX 30
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City | SARVER
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State | PA
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Zip | 16055-0030
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Country | US
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Telephone | 724-353-2510
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Fax | 724-353-2539
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROXANNE SHAY
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Credential |
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Telephone | 724-353-2510
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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 | 00172
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License Number State | PA
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