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General NPI Number Information
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NPI Number | 1477065928
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Entity Type | Organization
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Legal Business Name | ALLENTOWN FIRST AID SQUAD
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 70 WAKER AVE
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City | ALLENTOWN
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State | NJ
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Zip | 08501-1715
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Country | US
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Telephone | 215-900-3165
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 252
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City | ALLENTOWN
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State | NJ
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Zip | 08501-0252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMT
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Name | TAYLOR BUZEK
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Credential |
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Telephone | 215-900-3165
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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 |
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License Number State |
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