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General NPI Number Information
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NPI Number | 1275663163
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Entity Type | Organization
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Legal Business Name | BALLY COMMUNITY AMBULANCE ASSOCIATION
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 537 CHESTNUT ST
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City | BALLY
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State | PA
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Zip | 19503-9615
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Country | US
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Telephone | 610-845-2501
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Fax | 610-845-7898
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Provider Business Mailing Address
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Address Line | PO BOX 353
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City | BALLY
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State | PA
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Zip | 19503-0353
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Country | US
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Telephone | 610-845-2501
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Fax | 610-845-7898
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL GROFF
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Credential |
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Telephone | 610-845-2501
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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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