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General NPI Number Information
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NPI Number | 1275523441
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Entity Type | Organization
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Legal Business Name | WILLIAM CAMERON ENGINE COMPANY OF LEWISBURG PENNSYLVANIA
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 11 BUFFALO RD
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City | LEWISBURG
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State | PA
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Zip | 17837-1124
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Country | US
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Telephone | 570-524-2291
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Fax | 570-524-6831
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Provider Business Mailing Address
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Address Line | 239 N 5TH ST
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City | LEWISBURG
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State | PA
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Zip | 17837-1411
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Country | US
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Telephone | 570-524-2291
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Fax | 570-524-6831
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. DEBRA A. CATHERMAN
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Credential |
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Telephone | 570-524-2291
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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 | 04197
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License Number State | PA
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