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General NPI Number Information
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NPI Number | 1740234871
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Entity Type | Organization
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Legal Business Name | SOUTHERN BERKS REGIONAL EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 769 MOUNTAIN VIEW RD
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City | READING
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State | PA
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Zip | 19607-9307
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Country | US
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Telephone | 610-775-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 769 MOUNTAIN VIEW RD
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City | READING
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State | PA
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Zip | 19607-9307
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Country | US
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Telephone | 610-775-1041
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Fax |
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Authorized Official
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Title or Position | CLIENT SERVICES ADVISOR
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Name | MARC R THORNE
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Credential |
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Telephone | 717-724-4141
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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 | 02037
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License Number State | PA
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