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General NPI Number Information
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NPI Number | 1235157942
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Entity Type | Organization
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Legal Business Name | RESCUE TECH INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 465A VEIT RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1617
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Country | US
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Telephone | 215-396-7884
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Fax | 215-396-7758
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Provider Business Mailing Address
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Address Line | 465A VEIT RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1617
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Country | US
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Telephone | 215-396-7884
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Fax | 215-396-7758
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Authorized Official
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Title or Position | BILLING REPRESENTATIVE
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Name | MS. NZINGHA AISHA GOODE
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Credential |
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Telephone | 215-396-7884
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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 | 04071
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License Number State | PA
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