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General NPI Number Information
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NPI Number | 1497726400
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Entity Type | Organization
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Legal Business Name | SOUDERTON COMMUNITY AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 223 WEST RELIANCE RD
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City | TELFORD
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State | PA
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Zip | 18969
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Country | US
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Telephone | 215-723-3400
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Fax | 215-723-1552
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Provider Business Mailing Address
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Address Line | PO BOX 64214
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City | SOUDERTON
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State | PA
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Zip | 18964-0214
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Country | US
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Telephone | 215-723-3400
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Fax | 215-723-1552
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHIRLEY F FLICK
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Credential | EMT
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Telephone | 215-723-3400
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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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