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General NPI Number Information
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NPI Number | 1649240219
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Entity Type | Organization
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Legal Business Name | FAYETTEVILLE VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 101 W MAIN ST
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City | FAYETTEVILLE
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State | PA
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Zip | 17222-1428
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Country | US
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Telephone | 717-352-7723
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Fax | 717-352-8302
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Provider Business Mailing Address
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Address Line | 101 W MAIN ST
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City | FAYETTEVILLE
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State | PA
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Zip | 17222-1428
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Country | US
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Telephone | 717-352-7723
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Fax | 717-352-8302
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Authorized Official
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Title or Position | BILLING OFFICE MANAGER
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Name | MRS. LESLIE K SHREVE
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Credential |
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Telephone | 717-352-7723
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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 | 05003
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License Number State | PA
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