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General NPI Number Information
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NPI Number | 1053475905
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Entity Type | Organization
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Legal Business Name | NORTH STAR EMERGENCY SERVICES, INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 3174 CONSTITUTION DR
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City | LIVERMORE
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State | CA
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Zip | 94551-7570
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Country | US
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Telephone | 925-452-8300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12347
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City | PLEASANTON
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State | CA
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Zip | 94588-2347
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Country | US
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Telephone | 925-452-8300
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Fax |
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | KARLA NAZARENO
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Credential |
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Telephone | 925-487-9642
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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 | 1880
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License Number State | CA
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