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General NPI Number Information
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NPI Number | 1356524714
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Entity Type | Organization
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Legal Business Name | HEALTHATLANTIC LLC
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Dates
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Enumeration Date | 12/08/2007
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Last Update Date | 03/14/2009
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Provider Practice Location Address
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Address Line | 200 BULLTOWN RD
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City | ELVERSON
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State | PA
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Zip | 19520
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Country | US
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Telephone | 800-789-0912
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Fax | 610-927-6339
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Provider Business Mailing Address
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Address Line | PO BOX 74
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City | ELVERSON
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State | PA
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Zip | 19520-0074
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Country | US
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Telephone | 800-789-0912
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Fax | 610-927-6339
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Authorized Official
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Title or Position | EXEC MANAGER
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Name | TROY BARLET
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Credential | EMT
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Telephone | 800-789-0912
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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 | 07001
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 07001
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License Number State | PA
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