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General NPI Number Information
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NPI Number | 1285785105
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Entity Type | Organization
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Legal Business Name | CLAYMONT FIRE COMPANY 1
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 3223 PHILADELPHIA PIKE
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City | CLAYMONT
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State | DE
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Zip | 19703-3101
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Country | US
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Telephone | 302-798-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W COMMONS BLVD SUITE 210
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City | NEW CASTLE
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State | DE
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Zip | 19720-2400
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Country | US
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Telephone | 800-697-5147
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Fax | 888-456-3155
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ERIC JOSEPH HALEY
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Credential | NR.PARAMEDIC
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Telephone | 302-798-6858
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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 | 3737
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License Number State | DE
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