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General NPI Number Information
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NPI Number | 1730256173
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Entity Type | Organization
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Legal Business Name | TIONESTA AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 648 ELM STREET
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City | TIONESTA
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State | PA
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Zip | 16353-0157
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Country | US
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Telephone | 814-673-8095
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Fax | 724-794-1633
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | TIONESTA
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State | PA
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Zip | 16353-0157
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Country | US
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Telephone | 814-673-8095
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Fax | 724-794-1633
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT E WAGNER
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Credential |
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Telephone | 814-755-7726
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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 |
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License Number State |
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