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General NPI Number Information
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NPI Number | 1770550816
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Entity Type | Organization
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Legal Business Name | LAKE HARMONY RESCUE SQUAD AND AMBULANCE CORPS INC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 105 LAKE DRIVE
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City | LAKE HARMONY
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State | PA
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Zip | 18624
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Country | US
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Telephone | 570-722-1782
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Fax | 570-722-4655
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Provider Business Mailing Address
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Address Line | PO BOX 564
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City | LAKE HARMONY
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State | PA
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Zip | 18624-0564
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Country | US
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Telephone | 570-722-1782
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Fax | 570-722-4655
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLOTTE E BLACKWELL
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Credential |
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Telephone | 570-722-1782
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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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