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General NPI Number Information
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NPI Number | 1851390579
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN ADAMS VOLUNTEER EMERGENCY SERVICES INC.
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 5865 HANOVER RD
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City | HANOVER
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State | PA
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Zip | 17331-8966
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Country | US
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Telephone | 717-637-9621
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Fax | 717-637-4910
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Provider Business Mailing Address
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Address Line | PO BOX 539
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City | MECHANICSBURG
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State | PA
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Zip | 17055-0539
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Country | US
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Telephone | 717-728-1690
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Fax | 717-728-1690
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Authorized Official
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Title or Position | TREASURER
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Name | MR. KEITH EDWARD WHITTAKER
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Credential |
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Telephone | 717-637-9621
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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 | 03285
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License Number State | PA
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