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General NPI Number Information
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NPI Number | 1609944008
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Entity Type | Organization
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Legal Business Name | BUSHKILL EMERGENCY CORPS, INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 3 STERLING COURT
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City | EAST STROUDSBURG
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State | PA
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Zip | 18302
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Country | US
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Telephone | 570-223-1906
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | GILBERTSVILLE
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State | PA
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Zip | 19525-0417
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Country | US
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Telephone | 610-705-3979
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Fax | 610-705-3955
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DEBBIE KULICK
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Credential |
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Telephone | 570-223-1906
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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 | 02293
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License Number State | PA
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