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General NPI Number Information
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NPI Number | 1619052792
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Entity Type | Organization
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Legal Business Name | PENNDEL-MIDDLETOWN EMERGENCY SQUAD
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 616 E LINCOLN HWY
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City | LANGHORNE
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State | PA
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Zip | 19047-2905
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Country | US
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Telephone | 215-757-2663
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Fax | 215-757-0222
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Provider Business Mailing Address
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Address Line | 616 E LINCOLN HWY
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City | LANGHORNE
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State | PA
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Zip | 19047-2905
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Country | US
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Telephone | 215-757-2663
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Fax | 215-757-0222
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENEE FELICIANO
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Credential |
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Telephone | 215-757-2663
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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 | 03256
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License Number State | PA
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