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General NPI Number Information
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NPI Number | 1952816829
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Entity Type | Organization
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Legal Business Name | BRANDYWINE HOSPITAL MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 201 REECEVILLE ROAD
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City | COATESVILLE
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State | PA
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Zip | 19320
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Country | US
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Telephone | 610-383-8768
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 329
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City | WILLOW STREET
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State | PA
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Zip | 17584-0329
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Country | US
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Telephone | 717-464-0724
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Fax | 717-464-9775
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Authorized Official
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Title or Position | BILLING ADMIN.
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Name | DANIEL ROTH
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Credential |
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Telephone | 717-464-0724
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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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