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General NPI Number Information
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NPI Number | 1770628984
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Entity Type | Organization
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Legal Business Name | FLEETWOOD VOL FIRE CO 1
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 16 N CHESTNUT ST
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City | FLEETWOOD
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State | PA
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Zip | 19522-1227
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Country | US
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Telephone | 610-944-7676
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Fax | 610-944-7612
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Provider Business Mailing Address
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Address Line | PO BOX 94
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City | ELVERSON
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State | PA
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Zip | 19520-0094
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Country | US
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Telephone | 610-944-7676
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Fax | 610-944-7612
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Authorized Official
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Title or Position | DIRECTOR OF EMS
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Name | MR. DANA NOLL
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Credential |
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Telephone | 610-944-7676
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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 | 05060
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License Number State | PA
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