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General NPI Number Information
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NPI Number | 1386341030
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Entity Type | Organization
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Legal Business Name | CENTRE PENN EMS
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 230 11TH ST
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City | RENOVO
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State | PA
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Zip | 17764-1121
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Country | US
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Telephone | 814-271-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 593 WALNUT ST
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City | HOWARD
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State | PA
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Zip | 16841-3503
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Country | US
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Telephone | 814-271-0999
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. COREY AUNGST
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Credential | EMTP
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Telephone | 570-442-1174
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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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