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General NPI Number Information
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NPI Number | 1639250301
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Entity Type | Organization
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Legal Business Name | SUSQUEHANNA TOWNSHIP EMERGENCY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 108 SHORT ST
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City | HARRISBURG
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State | PA
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Zip | 17109-3732
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Country | US
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Telephone | 717-545-0842
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Fax |
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Provider Business Mailing Address
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Address Line | 108 SHORT ST
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City | HARRISBURG
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State | PA
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Zip | 17109-3732
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Country | US
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Telephone | 717-545-0842
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELLIOT MARKOVITZ
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Credential |
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Telephone | 717-545-0842
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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 | 22024
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License Number State | PA
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