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General NPI Number Information
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NPI Number | 1689845901
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Entity Type | Organization
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Legal Business Name | CLARKSVILLE & COMMUNITY VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 343 CENTER STREET
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City | CLARKSVILLE
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State | PA
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Zip | 15322
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Country | US
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Telephone | 724-377-0381
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Fax | 724-377-0381
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | CLARKSVILLE
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State | PA
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Zip | 15322
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Country | US
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Telephone | 724-377-0381
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Fax | 724-377-0381
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Authorized Official
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Title or Position | AMBULANCE COMMANDER
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Name | MRS. VICKI LEE MCCARTNEY
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Credential |
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Telephone | 724-377-0458
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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 | 300409
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License Number State | PA
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