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General NPI Number Information
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NPI Number | 1962455238
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Entity Type | Organization
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Legal Business Name | LAWRENCEVILLE FIREMENS AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 9-11 MECHANIC ST.
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City | LAWRENCEVILLE
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State | PA
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Zip | 16929-9768
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Country | US
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Telephone | 570-827-2047
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Fax | 570-827-2010
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Provider Business Mailing Address
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Address Line | PO BOX 177
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City | LAWRENCEVILLE
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State | PA
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Zip | 16929-0177
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Country | US
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Telephone | 570-827-2047
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Fax | 570-827-2010
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Authorized Official
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Title or Position | TREASURER
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Name | WENDY L SIX
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Credential |
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Telephone | 570-827-2047
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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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