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NPI 1376635292

NPI 1376635292 : UPPER BUCKS REGIONAL EMERGENCY MEDICAL SERVICES INC : REVERE, PA

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General NPI Number Information
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    NPI Number           |    1376635292
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    Entity Type          |    Organization 
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    Legal Business Name  |    UPPER BUCKS REGIONAL EMERGENCY MEDICAL SERVICES INC 
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Dates
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    Enumeration Date     |    09/28/2006
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    Last Update Date     |    10/23/2019
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Provider Practice Location Address
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    Address Line         |    8716 EASTON ROAD 
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    City                 |    REVERE
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    State                |    PA
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    Zip                  |    18953-0105
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    Country              |    US
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    Telephone            |    610-847-2165
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    Fax                  |    610-847-2980
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Provider Business Mailing Address
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    Address Line         |    PO BOX 105 
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    City                 |    REVERE
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    State                |    PA
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    Zip                  |    18953-0105
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    Country              |    US
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    Telephone            |    610-847-2165
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    Fax                  |    610-847-2980
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GARY V PEARSON 
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    Credential           |    
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    Telephone            |    610-847-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    09015
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    03166
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    License Number State |    PA
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