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General NPI Number Information
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NPI Number | 1922045202
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Entity Type | Organization
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Legal Business Name | BOSWELL VOLUNTEER FIRE DEPT INC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 606 HOWER AVE
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City | BOSWELL
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State | PA
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Zip | 15531-1113
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Country | US
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Telephone | 814-629-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 606 HOWER AVE
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City | BOSWELL
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State | PA
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Zip | 15531-1113
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Country | US
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Telephone | 814-629-9488
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Fax |
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Authorized Official
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Title or Position | COMMANDER
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Name | MICHAEL SHUMAKER
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Credential |
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Telephone | 814-629-9488
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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 | 04200
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License Number State | PA
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