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General NPI Number Information
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NPI Number | 1669454419
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Entity Type | Organization
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Legal Business Name | UPPER SAUCON AMB CORP
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 5560 CAMP MEETING RD
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8401
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Country | US
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Telephone | 610-282-1565
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Fax | 610-282-1954
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Provider Business Mailing Address
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Address Line | 5560 CAMP MEETING RD
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8401
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Country | US
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Telephone | 610-282-1565
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Fax | 610-282-1954
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Authorized Official
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Title or Position | TREASURER
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Name | GERARD COZZOLINO
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Credential |
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Telephone | 610-282-1565
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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 | 04127
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License Number State | PA
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