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General NPI Number Information
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NPI Number | 1427000603
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Entity Type | Organization
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Legal Business Name | NEWFOUNDLAND AREA AMBULANCE ASSOCIATION
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 441 CRESTMONT DR
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City | NEWFOUNDLAND
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State | PA
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Zip | 18445-5203
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Country | US
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Telephone | 570-676-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 441 CRESTMONT DR P.O.BOX 222
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City | NEWFOUNDLAND
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State | PA
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Zip | 18445-5203
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Country | US
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Telephone | 570-676-4121
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, BD.OF DIRECTORS
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Name | MR. ROGER W STEVENSON
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Credential |
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Telephone | 570-676-4121
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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 | 04062
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License Number State | PA
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