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General NPI Number Information
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NPI Number | 1760584957
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Entity Type | Organization
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Legal Business Name | COUNTY MEDICAL TRANSPORT, INC
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 15852 FALLING WATERS RD
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-2101
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Country | US
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Telephone | 301-582-6131
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Fax | 301-223-7470
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Provider Business Mailing Address
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Address Line | 15852 FALLING WATERS RD
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City | WILLIAMSPORT
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State | MD
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Zip | 21795-2101
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Country | US
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Telephone | 301-582-6131
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Fax | 301-223-7470
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ROBERT E. HARSH
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Credential |
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Telephone | 301-582-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 54
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License Number State | MD
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