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General NPI Number Information
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NPI Number | 1770521916
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Entity Type | Organization
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Legal Business Name | PRIORITY ONE MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 1119 BROADWAY ST
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City | EAST MC KEESPORT
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State | PA
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Zip | 15035-1517
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Country | US
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Telephone | 412-823-4980
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Fax | 412-823-4917
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Provider Business Mailing Address
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Address Line | 1119 BROADWAY ST
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City | EAST MC KEESPORT
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State | PA
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Zip | 15035-1517
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Country | US
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Telephone | 412-823-4980
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Fax | 412-823-4917
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Authorized Official
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Title or Position | CEO
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Name | MS. SANDRA LYNN KOLESAR-PEPPLER
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Credential | EMT PARAMEDIC, BSW
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Telephone | 412-823-4980
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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 | 03127
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License Number State | PA
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