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General NPI Number Information
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NPI Number | 1194822551
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Entity Type | Organization
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Legal Business Name | PORT PENN VOL FIRE CO INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 26 W MARKET STREET
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City | PORT PENN
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State | DE
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Zip | 19731
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Country | US
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Telephone | 302-834-7483
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Fax | 302-832-7622
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Provider Business Mailing Address
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Address Line | 100 W COMMONS BLVD SUITE 210
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City | NEW CASTLE
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State | DE
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Zip | 19720-2400
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Country | US
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Telephone | 800-697-5147
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Fax | 888-456-3155
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Authorized Official
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Title or Position | ASSISTANT CHIEF/EMS SUPERVISOR
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Name | RYAN MARK STUCKERT
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Credential |
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Telephone | 302-834-7483
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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 | 3573
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License Number State | DE
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