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General NPI Number Information
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NPI Number | 1871583138
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Entity Type | Organization
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Legal Business Name | CLARENDON FIRE DEPARTMENT
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 17 MAIN STREET
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City | CLARENDON
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State | PA
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Zip | 16313
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Country | US
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Telephone | 814-723-4951
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Fax | 814-723-5787
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Provider Business Mailing Address
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Address Line | 17 NORTH MAIN STREET
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City | CLARENDON
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State | PA
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Zip | 16313
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Country | US
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Telephone | 814-723-4951
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Fax | 814-723-5787
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL J PASCUZZI
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Credential |
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Telephone | 814-723-1088
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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 | 6200205
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License Number State | PA
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