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General NPI Number Information
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NPI Number | 1386791465
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Entity Type | Organization
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Legal Business Name | SOMERSET AREA AMBULANCE ASSOCIATION, INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 WOOD DUCK RD
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City | SOMERSET
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State | PA
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Zip | 15501-0615
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Country | US
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Telephone | 814-445-6141
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Fax | 814-443-3155
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Provider Business Mailing Address
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Address Line | PO BOX 615 115 WOOD DUCK RD
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City | SOMERSET
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State | PA
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Zip | 15501-0615
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Country | US
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Telephone | 814-445-6141
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Fax | 814-443-3155
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Authorized Official
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Title or Position | BOARD OF DIRECTORS, TREASURER
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Name | CLYDE WARE
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Credential |
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Telephone | 814-893-5974
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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 | 06090
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License Number State | PA
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