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General NPI Number Information
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NPI Number | 1720195738
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY EMS INC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 501 PINE ST
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-0014
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Country | US
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Telephone | 814-938-4119
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Fax | 814-938-3527
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Provider Business Mailing Address
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Address Line | PO BOX 14 501 PINE ST
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-0014
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Country | US
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Telephone | 814-938-4119
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Fax | 814-938-3527
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | MR. CLAYTON C SNYDER
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Credential |
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Telephone | 814-938-0271
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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 | 05214
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License Number State | PA
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