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General NPI Number Information
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NPI Number | 1568471084
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Entity Type | Organization
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Legal Business Name | COOPERSBURG EMS
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 N MAIN ST REAR
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City | COOPERSBURG
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State | PA
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Zip | 18036-1525
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Country | US
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Telephone | 610-282-8435
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Fax |
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Provider Business Mailing Address
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Address Line | 5 N MAIN ST REAR P.O. BOX 162
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City | COOPERSBURG
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State | PA
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Zip | 18036-1525
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Country | US
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Telephone | 610-282-8435
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ROBERT NEWHARD
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Credential |
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Telephone | 610-282-8435
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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 | 03122
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License Number State | PA
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