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General NPI Number Information
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NPI Number | 1912043944
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Entity Type | Organization
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Legal Business Name | ELVERSON - HONEY BROOK AREA EMS
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 4458 MAIN ST
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City | ELVERSON
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State | PA
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Zip | 19520-9332
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Country | US
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Telephone | 610-286-8925
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Fax | 610-913-6154
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Provider Business Mailing Address
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Address Line | PO BOX 154
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City | ELVERSON
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State | PA
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Zip | 19520-0154
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Country | US
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Telephone | 610-286-8925
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Fax | 610-913-6154
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY ELSTON
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Credential |
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Telephone | 610-286-8925
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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 | 05091
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License Number State | PA
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