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General NPI Number Information
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NPI Number | 1760581292
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Entity Type | Organization
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Legal Business Name | PALMERTON COMMUNITY AMBULANCE ASSOCIATION, INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 501 DELAWARE AVENUE
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City | PALMERTON
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State | PA
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Zip | 18071-0002
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Country | US
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Telephone | 610-826-7609
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Fax | 610-826-5327
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Provider Business Mailing Address
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Address Line | PO BOX 2 501 DELAWARE AVENUE
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City | PALMERTON
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State | PA
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Zip | 18071
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Country | US
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Telephone | 610-826-7809
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Fax | 610-826-5327
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Authorized Official
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Title or Position | FINANCIAL OFFICER/BOARD OF DIRECTOR
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Name | MRS. DANIELLE T. WEAVER
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Credential |
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Telephone | 570-401-1279
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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 | 06111
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 06111PA
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License Number State | PA
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