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General NPI Number Information
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NPI Number | 1427038660
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Entity Type | Organization
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Legal Business Name | HOUTDALE EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 01/21/2006
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 816 ELIZABETH STREET BOX 224
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City | HOUTZDALE
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State | PA
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Zip | 16651-1322
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Country | US
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Telephone | 814-378-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 816 ELIZABETH ST PO BOX 224
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City | HOUTZDALE
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State | PA
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Zip | 16651-1322
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Country | US
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Telephone | 814-378-8622
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Fax |
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Authorized Official
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Title or Position | BILLING DEPT.
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Name | SHELLY K TORMEY
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Credential |
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Telephone | 814-378-8622
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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 | 17012
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License Number State | PA
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