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General NPI Number Information
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NPI Number | 1003162553
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Entity Type | Organization
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Legal Business Name | AMERICAN AMBULANCE COMPANY
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 15941 HARLEM AVE NUM 126
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City | TINLEY PARK
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State | IL
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Zip | 60477-1609
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Country | US
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Telephone | 708-429-2082
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Fax | 708-357-3942
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Provider Business Mailing Address
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Address Line | 15941 HARLEM AVE NUM 126
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City | TINLEY PARK
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State | IL
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Zip | 60477-1609
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Country | US
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Telephone | 708-429-2082
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Fax | 708-357-3942
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL JOSEPH ROGERS
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Credential | EMT-P
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Telephone | 708-846-1433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 8586
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License Number State | IL
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