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General NPI Number Information
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NPI Number | 1306373451
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Entity Type | Organization
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Legal Business Name | ELK COUNTY EMS, LLC
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Dates
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Enumeration Date | 05/20/2017
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 625 MAURUS ST STE D
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City | SAINT MARYS
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State | PA
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Zip | 15857-1037
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Country | US
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Telephone | 814-594-7527
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18533
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City | PITTSBURGH
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State | PA
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Zip | 15236-0533
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Country | US
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Telephone | 800-240-6365
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Fax | 724-234-4703
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK J. SCHAUT
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Credential | PHRN
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Telephone | 814-594-7527
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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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