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General NPI Number Information
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NPI Number | 1881023471
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Entity Type | Organization
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Legal Business Name | EASTERN REGIONAL EMERGENCY MEDICAL SERVICES,LLC
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 863 1ST AVE
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City | BRACKENRIDGE
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State | PA
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Zip | 15014
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Country | US
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Telephone | 724-340-8111
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Fax | 724-340-8118
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Provider Business Mailing Address
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Address Line | 863 1ST AVE UNIT B1
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City | BRACKENRIDGE
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State | PA
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Zip | 15014-1410
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Country | US
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Telephone | 724-340-8111
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Fax | 724-340-8118
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. LIYA GORBERG
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Credential |
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Telephone | 724-340-8111
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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 | 13022
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License Number State | PA
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