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General NPI Number Information
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NPI Number | 1548247455
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Entity Type | Organization
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Legal Business Name | KEYSTONE QUALITY TRANSPORT COMPANY
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 1260 E WOODLAND AVE SUITE 220
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City | SPRINGFIELD
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State | PA
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Zip | 19064-3969
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Country | US
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Telephone | 610-541-6610
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Fax | 610-541-6624
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Provider Business Mailing Address
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Address Line | PO BOX 2027
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City | MEDIA
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State | PA
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Zip | 19063-9027
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Country | US
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Telephone | 610-541-6610
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Fax | 610-541-6624
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Authorized Official
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Title or Position | CEO
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Name | MR. DANNY PLATT
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Credential |
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Telephone | 610-566-2200
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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 | 23209
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License Number State | PA
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