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General NPI Number Information
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NPI Number | 1487829818
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY MEDICAL RESPONSE
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Dates
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Enumeration Date | 04/27/2008
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Last Update Date | 04/27/2008
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Provider Practice Location Address
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Address Line | 2348 E BOSTON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3015
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Country | US
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Telephone | 215-499-9291
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Fax |
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Provider Business Mailing Address
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Address Line | 310 UNION AVE 1ST FLOOR
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City | BRIDGEPORT
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State | PA
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Zip | 19405-1330
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Country | US
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Telephone | 215-499-9291
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Fax | 610-340-2330
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. CONNOR SCOTT
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Credential | EMT-B
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Telephone | 215-499-9291
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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 |
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License Number State |
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