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General NPI Number Information
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NPI Number | 1801862958
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Entity Type | Organization
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Legal Business Name | PLUM EMERGENCY MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 4545 NEW TEXAS RD
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City | PITTSBURGH
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State | PA
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Zip | 15239-1136
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Country | US
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Telephone | 412-793-4801
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Fax | 412-793-4837
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Provider Business Mailing Address
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Address Line | 4545 NEW TEXAS RD
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City | PITTSBURGH
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State | PA
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Zip | 15239-1136
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Country | US
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Telephone | 412-793-4801
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Fax | 412-793-4837
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. THOMAS B. IZYDORE
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Credential |
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Telephone | 412-793-4801
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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 | 05151
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License Number State | PA
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