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General NPI Number Information
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NPI Number | 1396965307
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Entity Type | Organization
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Legal Business Name | MILLCREEK PARAMEDIC SERVICE, INC.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 3608 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2059
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Country | US
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Telephone | 814-836-8677
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Fax | 814-836-9747
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Provider Business Mailing Address
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Address Line | 3608 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2059
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Country | US
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Telephone | 814-836-8677
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Fax | 814-836-9747
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BRANDON KRAMER
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Credential |
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Telephone | 814-836-8677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 25037
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License Number State | PA
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