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General NPI Number Information
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NPI Number | 1679564850
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Entity Type | Organization
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Legal Business Name | HUNTINGDON AMBULANCE AUTHORITY
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 411 10TH STREET
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City | HUNTINGDON
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State | PA
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Zip | 16652-0000
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Country | US
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Telephone | 814-643-6551
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16
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City | HUNTINGDON
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State | PA
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Zip | 16652-0016
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Country | US
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Telephone | 814-643-6551
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Fax | 814-643-2644
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TRAVIS GUTSHALL
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Credential |
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Telephone | 814-643-6551
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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 | 04210
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License Number State | PA
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