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General NPI Number Information
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NPI Number | 1376694075
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Entity Type | Organization
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Legal Business Name | BRADY TOWNSHIP VOLUNTEER FIRE RESCUE & AMBULANCE CO INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 11 COMMUNITY CENTER ST
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City | LUTHERSBURG
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State | PA
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Zip | 15848
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Country | US
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Telephone | 814-583-7610
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Fax | 814-583-5366
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | LUTHERSBURG
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State | PA
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Zip | 15848-0157
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Country | US
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Telephone | 814-583-7610
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Fax | 814-583-5336
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | SCOTT C FOLMAR
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Credential |
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Telephone | 814-583-7610
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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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