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General NPI Number Information
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NPI Number | 1225581200
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 322 E ALLEN ST SUITE C
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City | MECHANICSBURG
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State | PA
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Zip | 17055-3307
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Country | US
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Telephone | 717-590-8179
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Fax | 717-620-8224
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Provider Business Mailing Address
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Address Line | 322 E ALLEN ST SUITE C
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City | MECHANICSBURG
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State | PA
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Zip | 17055-3307
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Country | US
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Telephone | 717-590-8179
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Fax | 717-620-8224
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Authorized Official
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Title or Position | PARTNER
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Name | MR. MATTHEW D ROHMAN
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Credential |
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Telephone | 717-712-2413
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | PA
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