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General NPI Number Information
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NPI Number | 1699575993
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Entity Type | Organization
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Legal Business Name | LIFE TEAM LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 520 CHURCH ST # A
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City | LILLY
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State | PA
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Zip | 15938-1166
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Country | US
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Telephone | 814-201-1968
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18533
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City | PITTSBURGH
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State | PA
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Zip | 15236-0533
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Country | US
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Telephone | 814-201-1968
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Fax | 724-615-1448
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ASHLEY R ECKENRODE
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Credential |
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Telephone | 814-201-1968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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