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General NPI Number Information
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NPI Number | 1720043284
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Entity Type | Organization
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Legal Business Name | CONEMAUGH VALLEY REGIONAL AMBULANCE ASSOCIATION
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 1125 MAIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15909-2016
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Country | US
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Telephone | 814-535-5300
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Fax | 724-234-4703
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Provider Business Mailing Address
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Address Line | 892 NEW CASTLE RD
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-4228
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Country | US
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Telephone | 800-280-5974
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Fax | 814-535-5300
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID W RYKALA
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Credential |
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Telephone | 814-659-6555
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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 | 05140
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License Number State | PA
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