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General NPI Number Information
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NPI Number | 1972709608
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Entity Type | Organization
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Legal Business Name | PALMYRA AMBULANCE ASSOC INC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 125 W BROAD ST
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City | PALMYRA
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State | NJ
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Zip | 08065-1626
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Country | US
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Telephone | 856-829-0500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18533
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City | PITTSBURGH
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State | PA
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Zip | 15236-0533
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Country | US
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Telephone | 800-240-6365
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Fax | 724-234-4703
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Authorized Official
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Title or Position | CHIEF
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Name | DANNY DAVID NORMAN JR.
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Credential |
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Telephone | 856-296-6302
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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 | P0311033
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License Number State | NJ
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Taxonomy #2
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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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