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General NPI Number Information
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NPI Number | 1326014804
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Entity Type | Organization
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Legal Business Name | YOUNGSVILLE VFD AMBULANCE
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 222 EAST MAIN STREET
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City | YOUNGSVILLE
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State | PA
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Zip | 16371-1124
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Country | US
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Telephone | 814-563-4455
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Fax | 814-563-3334
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Provider Business Mailing Address
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Address Line | PO BOX 207
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City | ALLENTOWN
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State | PA
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Zip | 18105-0207
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Country | US
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Telephone | 484-664-2007
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Fax | 484-664-2017
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SCOTT L ROSE
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Credential |
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Telephone | 814-563-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 6201001
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License Number State | PA
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