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General NPI Number Information
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NPI Number | 1679576680
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Entity Type | Organization
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Legal Business Name | BURHOLME FIRST AID CORPS, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 830 BLEIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-3016
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Country | US
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Telephone | 215-725-4030
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Fax | 215-745-3997
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Provider Business Mailing Address
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Address Line | 830 BLEIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-3016
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Country | US
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Telephone | 215-725-4030
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Fax | 215-745-3997
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CAROLE H FARLEY
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Credential |
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Telephone | 215-725-4030
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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 | 03330
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License Number State | PA
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