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General NPI Number Information
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NPI Number | 1649220500
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Entity Type | Organization
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Legal Business Name | MOSCOW FIRE AND HOSE COMPANY
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 117 N MAIN ST
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City | MOSCOW
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State | PA
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Zip | 18444-9020
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Country | US
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Telephone | 570-842-7211
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Fax | 570-842-7137
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Provider Business Mailing Address
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Address Line | 117 N MAIN ST
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City | MOSCOW
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State | PA
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Zip | 18444-9020
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Country | US
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Telephone | 570-842-7211
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Fax | 570-842-7137
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | ERIN O'MALLEY-GUSE
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Credential |
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Telephone | 570-499-3519
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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 |
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License Number State |
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