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General NPI Number Information
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NPI Number | 1679596563
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 332 WAMPUM AVE
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1269
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Country | US
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Telephone | 724-752-1413
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Fax | 724-752-1402
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Provider Business Mailing Address
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Address Line | 332 WAMPUM AVE
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1269
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Country | US
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Telephone | 724-752-1413
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Fax | 724-752-1402
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWARD L HELTMAN
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Credential |
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Telephone | 724-752-1413
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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 | 06039
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License Number State | PA
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