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General NPI Number Information
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NPI Number | 1578817367
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Entity Type | Organization
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Legal Business Name | COLUMBIA HOSE, HOOK & LADDER NO.1
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 537 BAYNE AVE
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City | BELLEVUE
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State | PA
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Zip | 15202-3120
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Country | US
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Telephone | 412-670-9203
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Fax |
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Provider Business Mailing Address
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Address Line | 537 BAYNE AVE P.O. BOX 4186
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City | BELLEVUE
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State | PA
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Zip | 15202-3120
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Country | US
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Telephone | 412-670-9203
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GLENN PRITCHARD
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Credential |
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Telephone | 412-670-9203
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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 | 02350
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License Number State | PA
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