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NPI 1023168382

NPI 1023168382 : PHYSICIANS AMBULANCE SERVICE INC : BRECKSVILLE, OH

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General NPI Number Information
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    NPI Number           |    1023168382
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHYSICIANS AMBULANCE SERVICE INC 
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Dates
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    Enumeration Date     |    01/11/2007
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    Last Update Date     |    03/18/2024
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Provider Practice Location Address
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    Address Line         |    9200 NOBLE PARK DR 
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    City                 |    BRECKSVILLE
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    State                |    OH
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    Zip                  |    44141-3258
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    Country              |    US
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    Telephone            |    216-823-2100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6670 W SNOWVILLE RD STE 2 
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    City                 |    BRECKSVILLE
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    State                |    OH
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    Zip                  |    44141-4300
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    Country              |    US
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    Telephone            |    216-823-2100
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    Fax                  |    216-823-2169
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Authorized Official
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    Title or Position    |    OWNER CEO PRESIDENT
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    Name                 |    MR. RONALD C HESS SR.
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    Credential           |    
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    Telephone            |    216-823-2100
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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       |    180182
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    License Number State |    OH
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