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General NPI Number Information
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NPI Number | 1255504486
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Entity Type | Organization
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Legal Business Name | GRAND VIEW MEDICAL COMPANY
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 700 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1548
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Country | US
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Telephone | 215-453-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 420
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City | SOUDERTON
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State | PA
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Zip | 18960
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Country | US
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Telephone | 215-453-4700
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Fax | 215-453-4758
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GREGORY RAY WUERSTLE
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Credential |
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Telephone | 215-453-4604
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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 | 03295
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License Number State | PA
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