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General NPI Number Information
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NPI Number | 1295863876
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Entity Type | Organization
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Legal Business Name | GALE HOSE CO NO 1 INC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 2 UNION ST
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City | GALETON
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State | PA
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Zip | 16922-1221
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Country | US
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Telephone | 814-435-2160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | GALETON
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State | PA
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Zip | 16922-0223
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Country | US
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Telephone | 814-435-2160
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Fax |
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Authorized Official
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Title or Position | BILLING OFFICER
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Name | LINDA M BEACKER
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Credential |
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Telephone | 814-435-2160
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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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