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General NPI Number Information
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NPI Number | 1639220593
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Entity Type | Organization
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Legal Business Name | WEST END FIRE COMPANY NO 3 OF PHOENIXVILLE
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 801 W BRIDGE ST
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4214
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Country | US
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Telephone | 910-933-5160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 726
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City | NEW CUMBERLAND
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State | PA
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Zip | 17070-0726
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Country | US
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Telephone | 717-724-4136
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Fax | 717-635-6176
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Authorized Official
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Title or Position | LIEUTENANT
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Name | HEATHER STALEY
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Credential |
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Telephone | 610-933-1140
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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 | 06037
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License Number State | PA
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