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General NPI Number Information
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NPI Number | 1881920767
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Entity Type | Organization
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Legal Business Name | NORTHERN WAYNE FIRE CO INC.
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1633 CROSSTOWN HWY
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City | LAKEWOOD
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State | PA
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Zip | 18439-3934
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Country | US
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Telephone | 570-798-2335
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Fax | 570-798-0423
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 800-927-5845
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS TISANO
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Credential |
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Telephone | 570-798-2335
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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 |
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License Number State |
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