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General NPI Number Information
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NPI Number | 1245399286
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Entity Type | Organization
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Legal Business Name | NEWPORT TOWNSHIP FIREMEN'S COMMUNITY
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 1002 CENTER ST.
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City | NANTICOKE
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State | PA
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Zip | 18634-1904
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Country | US
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Telephone | 570-735-4652
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Fax | 570-735-4652
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Provider Business Mailing Address
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Address Line | 1002 CENTER ST.
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City | NANTICOKE
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State | PA
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Zip | 18634-1904
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Country | US
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Telephone | 570-735-4652
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Fax | 570-735-4652
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN P. FLORYSHAK
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Credential |
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Telephone | 570-735-4652
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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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