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General NPI Number Information
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NPI Number | 1033471396
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Entity Type | Organization
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Legal Business Name | EL VALENCIANO AMBULANCE SERVICES INC
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | BO. GURABO ABAJO SECTOR PLACITA
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City | JUNCOS
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State | PR
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Zip | 00777
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Country | US
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Telephone | 787-568-4079
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Fax | 787-369-7990
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Provider Business Mailing Address
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Address Line | PO BOX 2174
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City | JUNCOS
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State | PR
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Zip | 00777-2174
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Country | US
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Telephone | 787-568-4079
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Fax | 787-369-7990
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER JIMENEZ MARTINEZ
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Credential |
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Telephone | 787-568-4079
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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 | 905004
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License Number State | PR
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