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General NPI Number Information
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NPI Number | 1831205848
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Entity Type | Organization
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Legal Business Name | RHAWNHURST BUSTLETON AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 2044 GRANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4355
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Country | US
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Telephone | 215-698-9111
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Fax | 215-698-2918
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Provider Business Mailing Address
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Address Line | 2044 GRANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4355
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Country | US
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Telephone | 215-698-9111
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Fax | 215-698-2918
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SIGMUND JOEL FINE
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Credential |
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Telephone | 215-698-9111
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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 | 04075
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License Number State | PA
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