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General NPI Number Information
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NPI Number | 1881987873
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Entity Type | Organization
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Legal Business Name | TWIN VALLEY MEDICAL TRANSPORT INC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 2954 MAIN STREET
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City | MORGANTOWN
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State | PA
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Zip | 19543
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Country | US
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Telephone | 610-207-6904
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 858
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City | MORGANTOWN
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State | PA
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Zip | 19543-0858
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Country | US
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Telephone | 610-207-6904
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH C CARMEN
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Credential |
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Telephone | 610-207-6904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 11023
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License Number State | PA
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