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General NPI Number Information
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NPI Number | 1205837267
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Entity Type | Organization
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Legal Business Name | POTTSVILLE AREA EMERGENCY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 320 N 9TH ST
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City | POTTSVILLE
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State | PA
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Zip | 17901-2346
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Country | US
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Telephone | 570-622-9647
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Fax | 570-622-9648
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Provider Business Mailing Address
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Address Line | 320 N 9TH ST
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City | POTTSVILLE
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State | PA
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Zip | 17901-2346
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Country | US
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Telephone | 570-622-9647
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Fax | 570-622-9648
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. GARRY THOMAS LAUBACH
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Credential |
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Telephone | 570-622-9647
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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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