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General NPI Number Information
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NPI Number | 1598863102
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Entity Type | Organization
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Legal Business Name | WEST GROVE FIRE COMPANY
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 101 WALNUT AVE
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City | WEST GROVE
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State | PA
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Zip | 19390-1111
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Country | US
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Telephone | 610-869-9326
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 329
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City | WILLOW STREET
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State | PA
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Zip | 17584-0329
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Country | US
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Telephone | 717-464-0724
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Fax | 717-464-9775
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Authorized Official
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Title or Position | SECRETARY
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Name | LISA GLASS
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Credential |
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Telephone | 610-869-9326
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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 | 03183
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License Number State | PA
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