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General NPI Number Information
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NPI Number | 1609050426
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Entity Type | Organization
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Legal Business Name | SUGARLOAF FIRE COMPANY, INC.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 95 WEST COUNTY ROAD
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City | SUGARLOAF
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State | PA
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Zip | 18249
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Country | US
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Telephone | 570-788-2249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80
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City | SYBERTSVILLE
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State | PA
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Zip | 18251-0080
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Country | US
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Telephone | 570-788-2249
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN H GREGORY
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Credential |
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Telephone | 570-788-2249
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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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