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General NPI Number Information
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NPI Number | 1710090287
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Entity Type | Organization
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Legal Business Name | DILLSBORO EMERGENCY AMBULANCE UNIT, INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 13036 NORTH ST.
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City | DILLSBORO
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State | IN
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Zip | 47018
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Country | US
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Telephone | 812-432-3169
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 392907
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City | PITTSBURGH
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State | PA
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Zip | 15251
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Country | US
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Telephone | 800-962-1484
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | HARRY J WITTERIDE
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Credential |
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Telephone | 812-290-6403
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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 | 0038
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License Number State | IN
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