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General NPI Number Information
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NPI Number | 1285000414
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Entity Type | Organization
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Legal Business Name | MERCERSBURG MONTGOMERY PETERS AND WARREN VOLUNTEER FIRE AND AMBULANCE
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 132 N MAIN ST
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City | MERCERSBURG
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State | PA
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Zip | 17236-1724
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Country | US
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Telephone | 717-328-5965
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 89
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City | MERCERSBURG
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State | PA
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Zip | 17236-0089
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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 | EXECUTIVE DIRECTOR
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Name | DALE CARBAUGH
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Credential |
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Telephone | 717-328-5965
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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 | 05013
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License Number State | PA
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