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General NPI Number Information
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NPI Number | 1275585655
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Entity Type | Organization
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Legal Business Name | HUGHESTOWN HOSE COMPANY NO 1
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 30 CENTER ST
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City | HUGHESTOWN
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State | PA
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Zip | 18640-3013
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Country | US
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Telephone | 570-654-4188
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CENTER ST
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City | HUGHESTOWN
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State | PA
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Zip | 18640-3013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE MERLINO
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Credential |
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Telephone | 570-654-4188
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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 | 03229
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License Number State | PA
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