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General NPI Number Information
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NPI Number | 1619162344
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Entity Type | Organization
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Legal Business Name | SUCCESS AMERICA
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1813 EASTON RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-4102
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Country | US
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Telephone | 215-828-5936
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 EASTON RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-4102
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Country | US
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Telephone | 215-828-5936
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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. LEE SCHWARTZ
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Credential |
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Telephone | 215-828-5936
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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 | 04025
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License Number State | PA
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