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NPI 1639603434

NPI 1639603434 : ANTHONY NICHOLAS ALIMENTI ATC, NREMT : CHURCHVILLE, PA

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General NPI Number Information
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    NPI Number           |    1639603434
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY NICHOLAS ALIMENTI ATC, NREMT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/18/2017
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    Last Update Date     |    04/18/2017
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Provider Practice Location Address
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    Address Line         |    68 GRENVILLE CIR 
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    City                 |    CHURCHVILLE
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    State                |    PA
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    Zip                  |    18966-1549
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    Country              |    US
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    Telephone            |    215-595-3471
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    68 GRENVILLE CIR 
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    City                 |    CHURCHVILLE
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    State                |    PA
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    Zip                  |    18966-1549
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    Country              |    US
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    Telephone            |    215-595-3471
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146N00000X
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    Taxonomy Name        |    Basic Emergency Medical Technician
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    License Number       |    E3202115
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    RT006584
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    License Number State |    PA
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