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General NPI Number Information
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NPI Number | 1275650939
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Entity Type | Organization
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Legal Business Name | ORWIGSBURG AMBULANCE INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 500 E MARKET ST
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City | ORWIGSBURG
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State | PA
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Zip | 17961-2050
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Country | US
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Telephone | 570-366-2331
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Fax | 570-366-0519
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | ORWIGSBURG
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State | PA
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Zip | 17961-0004
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Country | US
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Telephone | 570-366-2331
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Fax | 570-366-0519
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Authorized Official
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Title or Position | BOARD OF DIRECTORS PRESIDENT
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Name | MR. JEFFREY L. JONES
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Credential |
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Telephone | 570-739-4456
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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 | 04045
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License Number State | PA
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